PEV- Pes Ekino Varus / Congenital Pes Equinovarus
Our feet on which we walk, move, which allows us to run; production, sports and art activities that have an important place in our small but important organs.
PEV- Pes Ekino Varus / Congenital Pes Equinovarus, is one of the most common congenital diseases of the foot and plays an important role in all other congenital diseases.½ -1/3 of the patients are couple and ½ -2/3 of the patients are unilateral. In some families, it is thought to be hereditary (familial), and if one of the parents has PEV- Pes Ekino Varus / Congenital Pes Equinovarus, the incidence of the child increases by 30 times. If the first child has PEV- Pes Ekino Varus / Congenital Pes Equinovarus, the risk is 2-5 times higher for the second child.Genetic, hereditary (familial) and environmental factors play a role in the formation of PEV- Pes Ekino Varus / Congenital Pes Equinovarus but the exact cause is unknown.PEV- Pes Ekino Varus / Congenital Pes Equinovarus can also be seen as part of congenital syndromes involving some musculoskeletal system.
PEV- Pes Ekino Varus / Congenital Pes Equinovarus is characterized by a downward tending of the ankle, an inward tending of the heel and foot, and thinning-atrophy of the leg.PEV- Pes Ekino Varus / Congenital Pes Equinovarus is a disease that is fixed by posterior disruption and displacement in the wrist and ankle joints, and the contracture spasm of the capsules, ligaments and muscles of the joints.
PEV- Pes Ekino Varus / Congenital Pes Equinovarus t is realized immediately after birth, the development of the underside of the uterus begins from the 4th week, begins to become visible in 8-12 weeks, USG (ultrasonography) is possible after 16 weeks of pregnancy.The foot looks like a long iron.Foot,interior ankle – back group ligament,muscle,tendon sheath,vein,nerve,shortening on capsul and skin;thinning-atrophy of elongation of the leg develops in the outer muscle and soft tissue groups.Over time deformations also occur in the bones.Sometimes , flexible - soft clubfoot may occur due to posterior disruption in the womb in this case it is possible to recover immediately by hand manipulation, massage and plaster.
Congenital hip dislocation, torticollis, and other congenital disorders may be seen in approximately 15% of PEV- Pes Ekino Varus / Congenital Pes Equinovarus patients and should be investigated.
As soon as the child is born, treatment is started immediately with gradual correction in the form of manual correction, manipulation and plastering.Increasing gradual corrections are made with plaster changes every week. With 6 to 12 weeks of plastering and back-to-heel achilles release, most feet become smooth, followed by special tools - orthotics, special shoes.Need close follow-up until foot growth is complete , In patients who do not improve with manual correction and plastering and heel loosening, surgical treatment is necessary from after 3-4 months.