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Clubfoot boots and bar
What should be the protocol followed for boots and bar followed by ponseti method. My baby had bilateral clubfoot currently 9 months he was treated with ponseti casting and tenotomy starting three weeks after birth and is currently on boots and bar however he is very resistant to wear them
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I think you are referring to the Dennis browne splint.
Till walking age they have to be worn 24 hours.
(70 degree approx both side).
Once your child starts walking then Dennis Brown Shoe in day time for approx 2 hours with Dennis Brown Splint over Night(12 hours) - Total 14-16 hours. This is for next 1.5 years.
Then DB shoes 4-6 hours in a day till 6-9years of age.
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This regime depends on the child built and the reduction or deformity... it is customised for each child.
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Dr. Abhishek Bhalotia
Orthopedist
6 yrs exp
Gondia
Once the kids starts walking it needs to be used only at night time, but protocol may varry little by treating doctors so better to follow what your treating doctor is saying.
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Dr. Gurram Sudhakar Reddy
Orthopedist
10 yrs exp
Hyderabad
the standard maintenance protocol of 12-14 hours to age 4-5 years. Some children with clubfoot (about 2 or 3 percent) may also have loose
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.