Prospective Rod Diameter Prospective Pediatric Kyphosis Study Prospective Study of Deformity Management and Pulmonary Function in Early Onset Scoliosis The Chest Wall and Spine Deformity Registry MRI Analysis of Kyphosis Assessing Outcomes in Children with Neuromuscular Disease Prospective Pediatric Scoliosis Study CT Analysis of Pedicle Screw Placement in Pediatric Patients and Related Quality of Life Issues Treatment of Congenital Idiopathic Clubfoot with the Ponseti Method Past Studies Recent Publications Center for Orthopaedic Research at Columbia University Upcoming Past

Casting as a Treatment For ClubFoot

• When casting is used as an initial treatment, the infant's foot/feet will be placed in a short or long leg cast for a total of approximately 12 weeks.
• An appointment will be made every one to two weeks to check the correction of the foot/feet's position, and to apply a new cast(s).
• The parents need to remove the cast(s) before each appointment. Do this the morning of the appointment.
• Soak the cast(s) in warm water and vinegar. You'll often need two people to do this. It will take about an hour before the cast starts to unravel.
• Inspect the skin for any signs of redness or irritation. Tell the doctor if the skin is irritated. We may need to wait to put on the next cast.

Things to check while the infant is in a cast(s)

• All the toes are warm, with good color, and toes move easily.
• If the infant can pull their foot/feet back up into the cast so that you cannot see the toes, soak the cast off, call the doctor and make an appointment.
• If the cast cracks or becomes soft, call the doctor, make an appointment and soak the cast off before the appointment.

Please call us if you have any questions or concerns.

Division of Pediatric Orthopaedics
Morgan Stanley Children's Hospital of New York
3959 Broadway, 8th Floor
New York City 10032
phone 212-305-5475
fax 212-305-8271