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Foot abduction brace used by Hope Walks. Hope Walks uses a method to treat infants born with clubfoot, known as the Ponseti method.This non-surgical method corrects the clubfoot with a series of casts over the course of four to six weeks, slowly manipulating the foot into a correct position.
Treatment can be carried out by a range of healthcare providers and can generally be achieved in the developing world with few resources. [1] Congenital clubfoot occurs in 1 to 4 of every 1,000 live births, making it one of the most common birth defects affecting the legs.
Ponseti treatment was introduced in UK in the late 1990s and widely popularized around the country by NHS physiotherapist Steve Wildon. The manipulative treatment of club foot deformity is based on the inherent properties of the connective tissue, cartilage, and bone, which respond to the proper mechanical stimuli created by the gradual reduction of the deformity.
The Denis Browne bar, also known as the Denis Browne splint or foot abduction orthosis, is a medical device used in the treatment of club foot.The device is named after Sir Denis Browne (1892-1967), an Australian-born surgeon at Great Ormond Street Hospital in London who was considered the father of pediatric surgery in the United Kingdom. [1]
Congenital foot deformities may be readily identified, e.g. club foot (talipes equino varus). Currently the‘gold-standard’ treatment choice for club feet is the Ponseti method. Other treatment options include the French Functional method or a combination of the two methods and some treatment centers also use Botox treatments.
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Clubfoot is the most common musculoskeletal birth deformity, affecting 200,000 newborn children each year worldwide, 80% of whom are in developing countries. The Ponseti method is used, for example, in Uganda, where efforts continue to improve the availability of the treatment.
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