FAQs
For Appointment: + 44 (0) 207 390 8351
Emergency out of hours: + 44 (0) 207 580 4400
CHILDRENS ORTHOPAEDICS
PAEDIATRIC ORTHOPAEDICS
CHILDRENS ORTHOPAEDICS
PAEDIATRIC ORTHOPAEDICS
For Appointment:
+ 44 (0) 207 390 8351
Emergency out of hours:
+ 44 (0) 207 580 4400
FAQs

What is club foot?
Club foot is a common foot deformity present at birth where in one or both the feet are turned towards an inward and downward position. It is more common in boys than girls. It is also called as talipes equinovarus.

Does clubfoot run in families?
The exact cause of clubfoot is unknown. Genetic and environmental factors may have a role in developing the condition.

What is the Ponseti Method?
The Ponseti method is now considered to be the first line treatment for Club Foot. It consists of the serial application of plaster casts to gradually stretch the foot straight. Once the forefoot has been corrected it is usual to release the Achilles tendon, (tenotomy), to get the heel straight. This is usually done under local anaesthetic but in the operating theatre, a further cast is applied and then after removal the patient wears special boots on a bar about 20 hours a day until they are at the stage of trying to walk when the boots and bar are used at night time only until about age 3. Generally speaking the method is successful although up to 15% patients may need a tendon transfer later.

What are knock knees, and when do they become obvious?
Knock knees is a condition in which the legs curve inward at the knees. When a child stands, the knees appear to bend toward each other and the ankles are spread apart. Knock knees most often develop as a part of normal growth.

Can a flat foot be treated with insoles?
If your child does not exhibit any symptoms your doctor may monitor your child’s condition as they grow to assess for any changes. If, however, your child has symptoms, your doctor may advise on the use of insoles that are worn inside the shoes to support the arch of the foot. If conservative treatment options fail to relieve your child’s symptoms then surgery may be necessary to resolve the problem.

What abnormal developments characterize hip dysplasia?
The common symptoms of hip dysplasia include:

  • Position of the legs may differ (dislocated hip may cause leg on that side to turn outwards)
  • Restricted movement on the side of hip dislocation
  • The leg may appear shorter on the side where hip is dislocated
  • Skin folds of fat on the thigh or buttocks may appear uneven.

When to seek medical advice?
Contact your child’s doctor if your child has trouble with walking or running in sports or everyday activities.

What causes a child to get a fracture?
Fractures are more common in children due to their activities as well as their bone properties. Fracture occurs when the bone is subjected to excessive stress than normal. It is very common in children because of the presence of growth plate which is the area of the child’s bone that consists of cartilage cells that transform into solid bone as the child grows.

How do I schedule an appointment?
You can schedule an appointment by calling us directly during our working hours.
What should I bring with me when I come for an appointment?
When you come for your appointment Remember to bring the following:

  • Insurance information
  • Referral Letter (if required)
  • Copies of results of x-rays, MRI’s, and CT scan etc. and any other relevant information
Select a Language
Meet Our Doctors
Mr . ROBERT HILL
Paediatric Orthopaedic Surgeon
NOTICE BOARD

The Hungarian Orthopaedic Association has awarded Mr Robert Hill Honorary Membership of the Hungarian Orthopaedic Association in recognition of his contributions to Hungarian Orthopaedics.


Latest publications & Research

Limb Lengthening and Reconstruction Surgery Case Atlas. Pediatric Deformity. Edited by Robert Rozbruch and Reggie Hamdy.
6 Case Studies.
Springer Reference. 2015

Developments in the Orthopaedic Management of Children With Stuve-Wiedemann
Syndrome: Use of the Fassier-Duval Telescopic Rod to Maintain Correction of Deformity
Wright, Jonathan MBBS(Hons), BSc(Hons), MRCS(Eng); Kazzaz, Sarmad MSc, FRCS(Tr & Orth); Hill, Robert A. BSc, FRCS
Journal of Pediatric Orthopaedics: 2015