A vertical talus or a congenital vertical talus is a infrequently found disability of the foot that is in most cases present at birth. It is an severe kind of flat foot which could affect one or both feet. The talus is small bone within the rearfoot which points forward generally in a horizontal direction and is placed between the tibia and fibula bones of lower leg and the heel bone to form the ankle joint complex. In a foot with congenital vertical talus, the talus bone is directed towards the ground in a vertical direction. The effects of this can be a stiff and rigid foot that has no arch which is often known as a rocker bottom foot. The problem may occur on it's own or can be part of a bigger syndrome including arthrogryposis or spina bifida. There is also a less severe form of this deformity called oblique talus which is midway between the horizontal and vertical types of the problem. This sort is a lot more flexible and only appears when standing.
The congenital vertical talus is commonly clinically determined at birth, but it can sometimes be discovered on sonography during the pregnancy. An examination of the feet will usually present the problem and is used to ascertain just how rigid it is. There is typically no pain at first, however, if it is not dealt with the foot will continue to be misshaped and with later walking it will commonly become painful. An x-ray will certainly detect the talus in a more vertical position. Several doctors look at a congenital vertical talus as a minor kind of a clubfoot.
Normally, some surgical procedures are typically necessary to correct the congenital vertical talus disability. However, the orthopaedic doctor may want to consider using a amount of stretching out or casting to try and improve the flexibility and position of the foot first. While in only a few cases will this get rid of the necessity of surgery completely it is more likely to help reduce the total amount and magnitude of surgery that is required and lead to a better end result from surgery. Bracing is necessary over a number of visits and replaced weekly to keep moving the foot right into a much more fixed position. When there is inadequate of an improvement with this method then surgery will probably be needed. The magnitude of the surgical treatment can depend on exactly how much the casting altered the foot and exactly how rigid the problem is. When the foot is rigidly misshaped, then this surgical treatment will have to be more comprehensive and is generally done just prior to one year old. The whole reason for the surgery is to fix the positioning of the bones within the foot. To get this done generally requires a few tendons and ligaments to become lengthened to permit the bones in the foot to be re-positioned. These bones are then kept in place with screws and placed within a splint. These bone pins usually get taken out after four to six weeks. A special shoe or brace might need to be worn for a period of time just after that to maintain correction.