Correcting your child's clubfoot
begins with a series of casts
and ends with a brace.
After the foot's position is corrected in the casting phase, it must be maintained
in the bracing phase for up to 5 years. The Ponseti clubfoot
brace keeps the corrected foot growing like it should. If the brace isn't worn
as directed, a corrected clubfoot will return to its original position
(this is called a relapse).
Putting the Shoes On
The orthopedic care team will teach you how to put on your baby's shoes and then
attach them to the brace. First, they'll show you how to do this on a doll until you
feel confident in your abilities. Older kids and other family members might also want
to learn how to do this.
It's important to be sure your baby's feet are positioned correctly in the shoes
or boots. Here's how:
First, put soft, thin cotton socks (never terrycloth or another thick material)
on your baby. Make sure the socks fit snugly (no wrinkles or sags) and are long enough
to go above the top of the shoe.
Open all the flaps of the shoe and move them and the straps out of the way.
Slide your child's foot into the shoe, making sure the heel is all the way down
and at the back of the shoe. Press down with your thumb to keep the foot in place.
Holding the foot securely in the shoe, put the shoe's tongue over the middle of
Always tighten the middle strap first. It should be snug enough that you can't
wiggle the foot.
Then, tighten the top strap over the ankle, followed by the third strap near the
toes. It can help to mark the hole on each strap so you know exactly where to buckle
As the care team showed you, look through the holes in the back of the shoe to
make sure that the heels are all the way down and back. You should not be able to
wiggle the feet in the shoes.
Attaching and Detaching the Bar
When both shoes are on, attach the bar. The shoes alone won't keep your child's
feet in place — they need to be connected to the bar to stay corrected.
On the bottom of the bar, look for an R and an L for your child's right foot and
left foot. Numbers on the bottom of the bar tell you how far your child's feet are
turned out when in the brace. Your doctor will prescribe the correct angle for your
child's feet, but usually a clubfoot will face out at 60 degrees and a non-clubfoot
will be placed at 30 degrees.
Slide the bar into the groove in the bottom of the shoes and click into place.
To take the bar off the shoes, just press on the tab that says "Push" while gently
pulling the bar out. Most parents find it easier to take the bar off before taking
the shoes off.