+91 72580 65424
HomePediatric OrthopaedicsClubfoot Correction Surgery in India
Back to All Procedures

Clubfoot Correction Surgery in India

Comprehensive surgical treatment to correct congenital clubfoot deformity in children, restoring normal foot position and function.

Overview

Clubfoot (talipes equinovarus) is a congenital foot deformity affecting approximately 1 in 1,000 babies, where the foot is twisted inward and downward. While non-surgical treatment with the Ponseti method (serial casting) is the first-line treatment, some severe or relapsed cases require surgical correction to achieve a functional, pain-free foot that allows normal walking and shoe wear. Dr. Gurudeo Kumar, a skilled pediatric orthopedic surgeon at Arthoscenter in Patna, Bihar, has successfully corrected over 180 clubfoot cases with a 93% success rate in achieving plantigrade (flat on ground) feet. His comprehensive approach combines the latest surgical techniques with post-operative bracing and physical therapy to ensure optimal outcomes for young patients. Surgical correction typically involves soft tissue release procedures (tendons, ligaments, joint capsules) or, in older children with rigid deformities, bony procedures. The surgery is usually performed between 9-12 months of age if conservative treatment fails. Most children achieve excellent functional outcomes and can participate in normal activities including sports. Early intervention and adherence to post-operative bracing protocols are crucial for long-term success.

Symptoms & Indications

This surgery may be recommended if you experience:

Foot turned inward and downward at birth

Forefoot adducted (turned toward midline) and supinated (sole facing up)

Heel in varus position (turned inward)

Equinus deformity (foot pointed downward like a ballet dancer)

Affected foot and calf may be smaller than the normal side

Stiffness and limited range of motion in the ankle and foot

Deep crease on the inner side of the foot

Difficulty fitting shoes or walking normally if untreated

Procedure Details

Duration

1.5-2.5 hours

Anesthesia

General anesthesia with pediatric anesthesiologist

Preparation for Surgery

Pre-operative evaluation includes physical examination, X-rays or MRI to assess bone and soft tissue deformity, blood tests, and pediatric anesthesia consultation. Parents receive detailed counseling about the procedure, post-operative care, and long-term bracing requirements.

Surgical Steps

1

General anesthesia is administered to ensure child comfort

2

Tourniquet is applied to the thigh to provide a bloodless surgical field

3

Posteromedial or Cincinnati incision is made based on deformity severity

4

Tight tendons (Achilles, posterior tibialis, flexor tendons) are lengthened

5

Joint capsules are released to allow repositioning of bones

6

Tight ligaments are released to correct heel and midfoot position

7

Foot is manually corrected to achieve plantigrade position

8

Kirschner wires (K-wires) may be inserted to hold bones in corrected position

9

Incisions are closed in layers and long leg cast is applied with foot in corrected position

Recovery Timeline

What to expect during your recovery journey

Week 1-6

Recovery

Long leg cast with foot in corrected position, no weight bearing

Week 6-12

Recovery

K-wires removed, short leg cast or walking cast, gradual weight bearing begins

Month 3-6

Recovery

Transition to foot abduction brace (FAB), worn 23 hours/day initially

Month 6-24

Recovery

FAB worn at night and during naps, physical therapy for strengthening

Year 2-4

Recovery

Continued nighttime bracing, monitoring for recurrence, gradual return to all activities

Tips for Faster Recovery

Strict adherence to bracing protocol is critical to prevent recurrence

Keep casts dry and monitor for signs of cast problems (swelling, numbness, bad odor)

Attend all follow-up appointments for cast changes and assessments

Once in brace, ensure proper positioning and duration as prescribed

Physical therapy exercises help strengthen foot and leg muscles

Watch for signs of recurrence (foot turning inward) and report immediately

Encourage age-appropriate activities to promote normal development

Properly fitted shoes and orthotics may be needed as child grows

Frequently Asked Questions

Common questions about this procedure

Q1.What causes clubfoot?

The exact cause is unknown, but clubfoot is believed to result from a combination of genetic and environmental factors. It is more common in boys and tends to run in families. It is not caused by the baby's position in the womb.

Q2.Can clubfoot be treated without surgery?

Yes, the Ponseti method (serial casting starting shortly after birth) successfully corrects 90-95% of clubfoot cases without surgery. Surgery is reserved for severe cases, failed Ponseti treatment, or relapses.

Q3.What is the success rate of clubfoot surgery?

Dr. Kumar achieves a 93% success rate in obtaining plantigrade feet that allow normal walking. Success depends on deformity severity, age at surgery, and strict adherence to post-operative bracing protocols.

Q4.Will my child be able to walk normally?

Yes, with successful treatment and bracing compliance, most children achieve near-normal foot function and can walk, run, and participate in sports. The affected foot may be slightly smaller and less flexible than the normal side.

Q5.How long does my child need to wear the brace?

After surgery and casting, the foot abduction brace is worn 23 hours/day for 3 months, then nights and naps until age 4-5 years. Bracing is crucial to prevent recurrence, which occurs in 30-50% of cases without proper bracing.

Q6.What are the risks of clubfoot surgery?

Risks include infection, wound healing problems, overcorrection or undercorrection, stiffness, numbness, and recurrence. Dr. Kumar uses careful surgical technique and comprehensive post-operative care to minimize complications.

Q7.Can clubfoot come back after treatment?

Recurrence is possible, especially if bracing protocols are not followed. Regular follow-up until skeletal maturity is important to detect and treat any recurrence early with casting or minor procedures.

Q8.When can my child start walking after surgery?

Children typically begin protected weight bearing in a walking cast 6-12 weeks after surgery. Normal walking development progresses over the following months as strength and balance improve with physical therapy.

Considering This Surgery?

Book an online video consultation with Dr. Gurudeo Kumar for just ₹999 and get all your questions answered