Congenital vertical talus

How might congenital vertical talus be treated?

Congenital vertical talus should be treated early to avoid pain and disability when the child learns to walk. The most common treatment is surgery, but some doctors may first recommend trying nonsurgical treatment. This may include a series of stretching and serial casting to increase the flexibility of the foot. This may decrease the amount of surgery that is needed, or, in some cases, prevent the need for surgery.

In most cases, surgery is recommended at around 9 to 12 months of age. The goal of surgery is to correct all aspects of the deformity, which includes the position of the bones as well as the ligaments and tendons that support these bones. When the bones are put in the correct position, pins may be inserted for a few weeks to keep them in place. Any tendons or ligaments that may have shortened as a result of the deformity may be lengthened. In most cases, recovery with a cast takes about 4 to 6 weeks. A brace or special shoe may be needed for a period of time to prevent the deformity from returning.

If congenital vertical talus occurs in association with other birth defects or an underlying genetic syndrome or neuromuscular disorder, treatment recommendations may differ depending on the associated abnormality.

Last updated on 05-01-20

Where To Start

Pediatric Orthopaedic Society of North America (POSNA)

The Pediatric Orthopaedic Society of North America (POSNA) provides information about this condition.

Last updated on 04-27-20

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