Horseshoe clubfoot correction techniques

(A) Manual correction method

Daily hot compresses are applied to the foot of the child, and the right hoof foot is used as an example, with the child lying flat on the bed and maintaining hip and knee flexion

position. The middle finger of the left hand is used to hold the top of both ankles, and the top of the left thumb is pressed against the metatarsal head of the lateral projection of the dorsum of the foot.

The right hand is used to hold the forefoot of the child. The operator’s right hand is used to dorsally extend the first metatarsal of the affected foot (placing the forefoot in a rotated posterior position) and then gently abduct the forefoot in a continuous manner. The left thumb is used as a fulcrum and the top pressure is applied to the metatarsals to counteract the effect. Perform the maneuver continuously for 10 minutes, rest for a moment, and then do it again, continuously

Perform 3~5 times.

(ii) Series of plaster cast fixation

After the manual correction and series of plaster fixation, Denis Brown orthopedic shoes should be worn throughout the day to consolidate the orthopedic effect. When the child is able to stand, he/she should wear the brace at night for at least 1 year to prevent recurrence of the deformity. Treatment by the Ponseti method is applied.

Indications.
Correction of various causes of foot pronation, internal and external rotation deformity of the foot, and spastic deformity of the pronator teres. For example: congenital clubfoot, internal and external rotation of the foot caused by cerebral palsy, scissor gait, etc. It is used for night correction and bedside correction. The effect is stable, self-adjustable, safe and reliable.
Orthopedic structure design.
This product is equipped with adjustable connecting rods on the special orthopedic shoes, which can adjust the width between the feet and the angle of internal and external rotation. There are different orthopedic shoes for foot inversion and valgus, which can effectively control the abnormal position of the foot, and the orthopedic shoes are made of natural leather with good fixation effect.
Orthopedic principle.
By using special orthopedic shoes, the affected foot is reliably fixed, and the width and rotation angle between the feet are adjusted by fixing the connecting rod on the bottom of the shoe to fix the foot in the desired position. Guiding its development in the correct direction, consolidating and improving the clinical treatment effect.
Precautions.
Observe whether the position of the foot is good after wearing, closely observe the patient’s reaction, and be sure to check promptly if there is crying and refusal to wear.


Post time: Nov-19-2022