The Little Feet Club 

The Little Feet Club
The Little Feet Club

Our Mission

To help end disability caused by clubfoot across the entire country of India.

Through a collaborative effort with Clubfoot India Initiative Trust (CIIT), The Little Feet Club works to ensure that every child born with clubfoot has access to quality treatment and the opportunity to lead a club-foot free life.

What is Clubfoot?

Clubfoot, formally known as talipes equinovarus, is a condition in which children are born with one or both feet inverted and internally rotated.

Approximately 1 in 1,000 children are born with clubfoot, and males are typically twice as likely as females to be affected.

4 out of 5 times, clubfoot is an idiopathic, or isolated, occurrence. Occasionally, clubfoot can be an associated symptom of another disorder. One (unilateral) or both (bilateral) feet can be affected at about a 50/50 ratio.

The Little Feet Club
Unilateral clubfoot
The Little Feet Club
Bilateral clubfeet

Diagnosis can be made during pregnancy as early as 12 to 13 weeks, and may be detected on your baby’s first ultrasound. Once diagnosed, you will be referred to a pediatric orthopaedic surgeon to discuss your goals and your baby’s treatment process.

The current gold standard of treatment is called the Ponseti method, a minimally invasive technique which involves the application of a series of casts and a period of wearing of a special foot brace to keep the feet from relapsing.

The Little Feet Club
Unilateral clubfoot
The Little Feet Club
Bilateral clubfeet

How 
Clubfoot Treatment
the Ponseti Method
 Works

The Little Feet Club

Step 1: Diagnosis

Clubfoot is typically diagnosed prenatally, at which point you will have your first meeting with an orthopaedic specialist. This meeting is meant to review the diagnosis with you, discuss the treatment options, and answer any questions you have. 

Step 2: Casting

A week after birth, your baby will need to come in for the first cast. Your doctor will carefully manipulate the feet, holding each in a progressively corrected position while the cast is applied by another clinician. 
Casts are worn for a week without removal, after which your baby will return to the clinic for the next cast. A total of 4 to 6 casts are usually required for full correction of the feet.

Step 3: “Boots and Bar”

Once the casting phase is over, your baby will likely need a short and minimally invasive procedure called a tenotomy. This procedure is done to increase the length of your baby’s Achilles tendon and can be done at your doctor’s clinic.
As your baby grows, the focus now is to prevent your baby’s feet from relapsing. To do so, a special brace is used. The brace is made up of two boots connected by a stabilizing bar, which functions to keep the feet in proper position. 
  Your baby will begin by wearing the boots for 23 hours a day for a period of weeks, then will taper down to only nights and naps once your doctor deems appropriate. 

Step 4: Completion

After 2 years of progress monitoring, you and your child come in for a final treatment evaluation. If your child’s feet remain corrected and show no signs of relapse, your child has successfully completed treatment.
Your child may choose, in the long term, to participate in any sports or physical activity she chooses, as successful treatment is expected to allow your child to run and play without difficulty.
The Little Feet Club: 
Our Three Goals
Our Three Goals
The Little Feet Club

1. Clinical Training

Our Medical Directors are experts of the Ponseti method for clubfoot treatment, and provide clinical training to doctors in India annually. At these national training conferences, orthopaedic surgeons from across India learn and review the proper manipulation and casting techniques to ensure effective treatment.

Our next national training in India is scheduled for March 2020.

2. Health Data Infrastructure

From the first step of diagnosing clubfoot to your baby’s final clinic visit, clubfoot treatment could not be successful without effective health data collection and information sharing.

Our Operations Directors work closely with all parties within the spectrum of clubfoot care to ensure that patient records are accurate, complete and current. Additionally, they work to ensure patient data is being shared appropriately for successful progress monitoring.

The Little Feet Club
The Little Feet Club

 

3. Clubfoot Research

Clubfoot is the most common musculoskeletal birth defect, and as such remains a significant cause of disability globally.

India is the second-most populated country in the world, and as such has some of the highest clubfoot prevalence worldwide.

Our efforts to create a system capable of detecting and treating every case of clubfoot will help us better understand the clubfoot condition, its causes, and how we can further improve our treatment and outcomes.

Our Team 
in the U.S. 
in India

Dr. Walid Yassir

Medical Director, U.S.
Yassir-Walid 2016

Ahmad Hasan

Director of Operations, U.S.
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Dr. Mathew Varghese

Medical Director, India
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Dr. Santosh George

Director of Operations, India
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Take Action: 
Support Clubfoot Treatment
Donate today to help end disability caused by clubfoot.

100% of your donation is dedicated to clubfoot treatment.

Please note: The Little Feet Club, Inc. is currently awaiting 501c3 not-for-profit status and is unable to provide receipts for tax deduction purposes until granted. Please contact us with any questions.

Let’s work together

info@thelittlefeetclub.com

Dr. Walid Yassir

Dr. Walid Yassir is Chief of Pediatric Orthopaedic Surgery at the DMC Children’s Hospital of Michigan and serves as Clinical Associate Professor of Orthopaedic Surgery at the Wayne State University School of Medicine. He has extensive experience treating children with clubfeet, and has trained under the guidance of the late Dr. Ignacio Ponseti, creator of the Ponseti method. Dr. Yassir brings unique clinical expertise on the proper treatment of clubfeet and is excited to provide advanced training of the Ponseti method to orthopedic surgeons in India.

Ahmad Hasan

Ahmad Hasan is a medical student at Wayne State University with a background in health informatics from the University of Michigan. He was introduced to the India clubfoot treatment program in 2017 after consulting on protocol development to improve clubfoot data management in India. Ahmad is excited about engaging clubfoot treatment from both a clinical and an informatics perspective, and his work involves refining digital tools to ensure that every clubfoot case in India can be registered, monitored, and treated.

Dr. Mathew Varghese

Dr. Mathew Varghese brings his vast experience in helping India to eradicate polio, for which he has received international coverage and praise, including from the Gates Foundation. He currently serves as the Medical Director of CURE International India Trust, the largest national clubfoot treatment program in India, and is also Head of Orthopaedics at St. Stephen’s Hospital in New Delhi. Dr. Varghese’s work continues to touch many lives and he remains committed to ensuring every child born with clubfoot in India has access to quality treatment.

Dr. Santosh George

Dr. Santosh George has served as the Director of Operations for CURE International India Trust since 2009 and has helped establish state-level government contracts in nearly every state of India dedicated to clubfoot treatment. His work facilitating and effectively scaling clubfoot treatment programs in India has proven invaluable to making clubfoot treatment a national focus in India.