Vertical Talus

 

What is vertical talus?

Like clubfoot, vertical talus is a congenital foot disorder, which means it is present in Vertical Talus or Persian Slipper Footbabies at birth. The foot turns outward, creating a rigid flat foot. To visualize it, think of the foot’s arch curving down and out like the bottom of a rocking chair.

Left untreated, a child with vertical talus begins walking on the inside of the foot. This leads to the formation of painful calluses, skin breakdown and foot pain. It affects a child’s gait and ability to wear properly fitting shoes.

What causes vertical talus?

Most cases of vertical talus are idiopathic, meaning the cause is unknown. Sometimes it is associated with abnormalities in the chromosomes. These abnormalities result in a syndrome or neuromuscular disorder that in turn disrupts the foot’s structure. A medical examination or blood test usually determines whether or not the condition is idiopathic. However, there is increasing evidence that these unknown causes are related to defects in genes involved in early limb development.

Prevention of vertical talus is not possible. It is unlikely that anything you did during pregnancy could have caused the disorder.

How is vertical talus treated?

Vertical talus will not resolve by itself and needs medical attention. The treatment for vertical talus is similar to that of clubfoot. Under the leadership of Dr. Deepak Agrawal,Pediatric Orthopedic Surgeon at Aarogya Hospital, Shankar nagar, Raipur, Chhattisgarh has become the nation’s premier foot deformity clinic specializing in the nonsurgical Ponseti method for cast correction of clubfoot. Dr. Deepak Agrawal is using his expertise to develop and advance a modified Ponseti method for the treatment of vertical talus.

Vertical Talus Casting Even when well corrected through the modified Ponseti method, however, vertical talus tends to relapse. For that reason, parents play a key role in the success of treatment by closely following instructions for bracing and stretching. This requires patients to wear a brace for 23 hours a day during the first three months, and then 12-14 hours a day (naps and nighttime) for two years. Parents also are taught stretching exercises for their child’s foot that are done at every diaper change (at least four times a day) to maintain flexibility.

Although the treatment process is labor intensive, it helps prevent children from having to undergo more complicated surgeries and experiencing problems with arthritis and mobility problems in adolescence and adulthood.