EXPERIENCE IN CONSERVATIVE TREATMENT OF CLUBFOOT IN EARLY CHILDHOOD

Abstract

Clubfoot remains one of the most common congenital deformities of the musculoskeletal system in pediatric orthopedics. This review analyzes the historical evolution, principles, and current strategies of conservative treatment for congenital clubfoot in young children. The study highlights the transition from ancient manipulative methods to modern evidence-based techniques such as the Ponseti method, which currently serves as the gold standard for children under three years of age. The review discusses functional, fixation, and mixed approaches, emphasizing their effectiveness, limitations, and indications depending on the degree of deformity. Special attention is paid to the challenges of treating severe and atypical forms of clubfoot and the role of combined orthopedic and physiotherapeutic management. The authors conclude that early intervention and gradual correction remain the key principles for achieving stable functional outcomes and preventing disability.