What to do if an adult has everted foot

Don't think that only children suffer from hallux valgus. Some adults suffer from hallux valgus due to injuries after fractures or during surgery. Hallux valgus is a neurological problem, which is also related to bone diseases. Corrective surgical treatment is needed.

Treatment Procedure

1. Start treatment after birth. The earlier the treatment, the better the effect. Treatment varies according to age and degree of deformity.

2. Manual correction method: generally suitable for children under 6 months or with milder cases. Start at birth, the earlier the better. The doctor teaches the mother or guides the child to first correct the adduction of the forefoot, then correct the inversion of the subtalar joint, and then correct the plantar flexion of the ankle joint. The technique should be gentle to avoid damaging the epiphysis. Hold each correction position for 10 seconds, for 10-15 minutes each time. The operation should be performed once a day, and it is generally recommended to be performed before breastfeeding.

3. Plaster tube external fixation correction: suitable for children aged 3 months to 1 year, and should be replaced every 2-3 months.

4. Surgical treatment is suitable for those over 6 months old who cannot be corrected by manual methods. The procedure varies according to age.

(1) Soft tissue release on the medial and posterior side of the foot is suitable for children aged 6 months to 6 years.

(2) Lateral column shortening is suitable for children over 3 years old with severe deformity. At the same time as the medial and posterior soft tissue release, the cuboid bone or calcaneal wedge resection of the calcaneocubital joint or the lateral wedge osteotomy of the calcaneus is performed.

(3) Triple arthrodesis is suitable for patients over 12 years old with severe deformity.

Medication principles

There is no specific drug treatment for congenital clubfoot. If the child undergoes surgery, antibiotics should be used after the operation to prevent infection.