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The cure of congenital clubfoot has always presented a difficult problem. In spite of many recognized methods of treatment, unsatisfactory results are still common. Such failure results in a greater or less degree of physical handicap which is lifelong in its effects.
The three principal causes of failure are delay in the inauguration of treatment, imperfect nerve supply of the muscles, and failure to obtain complete overcorrection of the deformity. Fortunately, the first cause through education of the general practitioner is rapidly disappearing. Nowadays it is generally recognized that, the earlier treatment is undertaken, the better the chance for real cure. The second cause, as in cases of spina bifida, is and always will be a complication. Its presence offers a special problem which requires radical and long continued measures for its solution. The third cause, which is the most common, results from faults in the method of treatment used,
Kidner FC. CLUBFOOT. JAMA. 1932;98(20):1736–1737. doi:10.1001/jama.1932.27320460004013b
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