The Ponseti Clubfoot Brace: Tips for Parents enparentshttps://kidshealth.org/EN/images/headers/Ponseti_Clubfoot_Brace-Tips_enHD_2.jpgCorrecting your child’s clubfoot begins with a series of casts and ends with a brace. Here's how to help your child wear it successfully.clubfoot, club foot, clubfeet, club feet, birth defects, casts, casting, bracing, braces, ponseti, ponseti method, ponseti brace, Mitchell brace, denis browne brace, orthosis, orthotics, dobbs, AFO abduction, shoes, boots, 03/16/201708/14/201808/14/2018L. Reid Nichols, MD03/25/2017d083df89-19ca-442a-b800-c4b742445027https://kidshealth.org/ws/RadyChildrens/en/parents/ponseti-brace-tips.html/<p>Correcting your child's <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/clubfoot.html/">clubfoot</a> begins with a series of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/ponseti-casting.html/">casts</a> and ends with a brace.</p> <p>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 <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/ponseti-bracing.html/">clubfoot brace</a> keeps the corrected foot growing like it should. If the brace isn't worn as directed, a corrected clubfoot <strong>will return to its original position</strong> (this is called a <strong>relapse</strong>).</p> <h3>Putting the Shoes On</h3> <p>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.</p> <p>It's important to be sure your baby's feet are positioned correctly in the shoes or boots. Here's how:</p> <ul class="kh_longline_list"> <li>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.</li> <li>Open all the flaps of the shoe and move them and the straps out of the way.</li> <li>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.</li> <li>Holding the foot securely in the shoe, put the shoe's tongue over the middle of the foot.</li> <li>Always tighten the middle strap first. It should be snug enough that you can't wiggle the foot.</li> <li>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 it.</li> </ul> <p>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.<img class="right" title="illustration" src="https://kidshealth.org/EN/images/illustrations/heelWindow_a_enIL.jpg" alt="illustration" /></p> <h3>Attaching and Detaching the Bar</h3> <p>When both shoes are on, attach the bar. The shoes alone won't keep your child's feet in place &mdash; they need to be connected to the bar to stay corrected.</p> <p>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.</p> <p>Slide the bar into the groove in the bottom of the shoes and click into place.<img class="right" title="illustration" src="https://kidshealth.org/EN/images/illustrations/fastenPonsetiBrace_a_enIL.jpg" alt="illustration" /></p> <p>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.</p>Férula ortopédica de Ponseti para pie zambo: consejos para los padresCorregir el pie zambo de su hijo empieza con una serie de escayolas y concluye con la colocación de una férula ortopédica. Aprenda cómo ayudar a su hijo con este proceso de una manera exitosa.https://kidshealth.org/ws/RadyChildrens/es/parents/ponseti-brace-tips-esp.html/d06d08cd-fc65-48c5-a485-34df4efe1836
ClubfootClubfoot is a birth defect that makes one or both of a baby's feet point down and turn in. Most clubfeet can be successfully corrected using the nonsurgical Ponseti method.https://kidshealth.org/ws/RadyChildrens/en/parents/clubfoot.html/a07ccb09-d0c2-4a00-abf7-6931ad897b22
The Ponseti Method: Bracing PhaseThe Ponseti method to treat clubfoot is done in two phases – the casting phase gradually moves the foot to the correct position, and the bracing phase makes sure it stays there. Learn about bracing.https://kidshealth.org/ws/RadyChildrens/en/parents/ponseti-bracing.html/8ced8cd3-c023-4f92-a09c-2e787ea8523c
The Ponseti Method: Casting PhaseThe Ponseti method to treat clubfoot is done in two phases – the casting phase gradually moves the foot to the correct position, and the bracing phase makes sure it stays there. Learn about casting.https://kidshealth.org/ws/RadyChildrens/en/parents/ponseti-casting.html/ce4c7701-77da-482f-a894-3a115cce9c6f
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-generalPediatricskh:genre-articlekh:primaryClinicalDesignation-orthopedicsNonSportsMedBones & Muscleshttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/bones/309954d5-03dd-446c-9d39-3e66eeb99f97https://kidshealth.org/EN/images/illustrations/heelWindow_a_enIL.jpghttps://kidshealth.org/EN/images/illustrations/fastenPonsetiBrace_a_enIL.jpg