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THE CONSERVATIVE TREATMENT OF CONGENITAL TALIPES EQUINOVARUS
ISIDORO BLUMENFELD; NATHAN KAPLAN; EDGAR O. HICKS
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Department of Orthopaedic Surgery, State University of Iowa, Iowa City
1946 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1946; 28:765-777 
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Abstract

1. Treatment of club-foot should be instituted early as possible.

2. The Denis Browne splint, alone or complemented in sonme cases by anotlmer form of conservative therapy, gives the best results, especially in patients under one year of age.

3. In cases in which the Denis Browne splint failed to obtain complete correction, or in those patients who are between one and four years of age at the beginning of treatment, wedged casts should be used.

4. In some cases of metatarsus varus, correction can be accomplished with wedged casts.

5. Under certain conditions in private practice, manipulative methods may not be the method of choice, but rather of necessity. In expert hands, good results can be obtained by the manipulative method.

6. The manipulative method can be used in patients in the older age groups.

7. Metatarsus varus can either be completely corrected or markedly improved by manipulative methods.

8. Correction must be maintained for a considerable period of time, preferably as described.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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