Dennis Brown Splint Bar
Dennis Brown Splint (Ponseti Orthosis)
Dennis brown splint; It is an orthosis model that plays an important role in the treatment of children with pes equinovarus who can be adjusted to the right and left angles used with Dennis brown boots. The Dennis brown splint is prepared for use with a pev boot. The splint that is screwed from the bottom to the boot allows users to easily adjust the angle of the foot of the child.
Dennis Brown Splint Features
► Easy to give angle to inner and outer part
► Elongation distance up to 40 cm (When the splint is closed, its length is 27 cm)
► Possibility of easy mounting with Dennis brown pev boots
► Reasonable price advantage
► Safe using
► it is an important part of the treatment of club foot.
► Splint weight: 190 gr
Note: Prices are only for splint. Shoe is not included in the price
What is clubfoot, and how is it diagnosed?
Clubfoot, also known as talipes equinovarus, is a congenital condition in which a baby's foot is twisted out of its normal position. It is one of the most common congenital musculoskeletal anomalies, affecting approximately 1 in 1,000 live births. The affected foot may be pointed downwards and turned inward, making it difficult or impossible to place the sole of the foot flat on the ground.
Diagnosis of clubfoot typically occurs shortly after birth through a physical examination by a healthcare professional, such as a pediatrician or orthopedic specialist. The characteristic appearance of the foot makes it relatively easy to identify. The healthcare provider will check for the following signs:
- Equinus: The foot is pointing downward (like standing on tiptoes).
- Varus: The foot is turned inward.
- Cavus: The arch of the foot is unusually high.
- Medial rotation of the tibia: The lower leg bone (tibia) may be rotated inward.
In some cases, clubfoot may be detected during prenatal ultrasounds, especially if it is severe. If clubfoot is suspected, further evaluation and confirmation are done after the baby is born.
Once the diagnosis is made, additional imaging tests, such as X-rays or ultrasound, may be used to assess the severity of the deformity and aid in determining the most appropriate treatment approach.
It's important to start treatment for clubfoot early, ideally within the first few weeks of life, to achieve the best outcomes and to prevent complications that could affect the child's ability to walk and move comfortably as they grow older. The most common treatment for clubfoot is the Ponseti method, which involves gentle stretching, casting, and, in some cases, a minor procedure to lengthen the Achilles tendon. In more severe cases, surgical intervention may be necessary to correct the deformity. Regular follow-up appointments are typically scheduled to monitor the progress of treatment and ensure the best possible outcome for the affected child.
What are the treatment options for clubfoot, and when should treatment begin?
The treatment options for clubfoot primarily include non-surgical methods, such as the Ponseti method, and in some cases, surgical intervention. The choice of treatment depends on the severity of the clubfoot and the age at which it is diagnosed.
The Ponseti method is the most common and widely accepted non-surgical treatment for clubfoot. It is a gentle and gradual process that involves the following steps:
► Manual Manipulation: The foot is gently manipulated into a corrected position by a healthcare provider experienced in the Ponseti method.
► Casting: After the foot is repositioned, it is placed in a plaster cast to maintain the correction. The cast is changed every 1 to 2 weeks, with the foot being further corrected at each visit.
► Achilles Tendon Lengthening: Once the foot is brought into the correct position, a minor procedure may be done to lengthen the tight Achilles tendon at the back of the foot.
► Bracing: After the casting phase, a brace (usually Denis Browne bar or AFO - ankle-foot orthosis) is used to maintain the corrected position of the foot and prevent relapse. The brace is usually worn full-time for a few months and then gradually reduced to nighttime and naptime use until the age of 4 or 5.
The Ponseti method is most effective when started early, ideally within the first few weeks of life. It has a high success rate in correcting clubfoot deformities without the need for surgery in the majority of cases.
Surgery may be considered when the clubfoot is severe, resistant to non-surgical methods, or diagnosed late in infancy. Surgical procedures may involve soft tissue releases, bone realignment, and sometimes the use of external fixators or internal implants to correct the deformity. After surgery, bracing is still required to maintain the correction achieved.
The timing of surgical intervention varies depending on the patient's age, the severity of the deformity, and the experience and preference of the treating healthcare provider. Generally, it is advisable to try the Ponseti method first, and surgery is considered if the non-surgical approach does not achieve satisfactory results.
It's essential to begin treatment as early as possible, preferably within the first few weeks of life. Early intervention maximizes the potential for a successful outcome, as the baby's bones, ligaments, and tissues are more flexible and responsive to correction during this time. However, even if the condition is diagnosed later, treatment can still be effective, and individuals of all ages have benefited from both non-surgical and surgical approaches.
Also clubfoot is painless in a baby, treatment should begin immediately. Clubfoot can cause significant problems as the child grows. But with early treatment most children born with clubfoot are able to lead a normal life. Contact your doctor urgently If your baby have it.