Soon after birth, the baby’s foot is put into a cast. The cast is changed every one to two weeks for six to 12 weeks, at which point an X-ray is taken. If the bones are moving in the correct position, casting may be continued. If not, surgery is needed.

Surgery is usually performed between the ages of 8 months and 1 year. The doctor makes an incision on the inner side of the foot and repositions the bones. Pins are inserted through the bones to hold them in place until the foot heals. A long-leg, bent-knee cast is put on to protect the foot and hold it in position. The usual hospital stay is three to five days. The first cast may be changed 10 days after surgery.