Defined
Also known as Talipes: a birth deformity of the foot, sometimes resulting from crowding in the uterus. In a clubfoot the bones in the front part of the foot are misaligned. In 95 percent of clubfoot deformities the front half of the foot turns in and down (equinovarus). In the rest of the defects the front part of the foot turns out and up (calcaneovalgus or calcaneovarus).
Treatment
Treatment of club foot deformities must be started as soon as possible. During the first three weeks of life, the ligamentous tissues are still somewhat lax and may respond to manipulations and casting. Casting is normally continued for months later. If correction has been achieved it must be maintained during weight bearing years. A custom orthotic is then indicated to maintain proper posture and development.
Mild Talipes (club foot) can be treated and success achieved with the use of orthotic therapy by controlling the gait supporting the arch structures additional wedging can be applied to the orthotic to restrict the patient from ‘sliding laterally’ on the orthotic. The use of orthotics would be a supportive treatment and would need to be combined with other treatment modalities to gain the correction …… use of gait plate orthotics for tibial torsion is also recommended whilst the child is still growing. | 
