In this section
known as Congenital Talipes Equino Varus
(CTEV), is a common
condition that affects one or both feet of a newborn baby.
technique called the Ponseti method is the
standard treatment for clubfoot. Your child will have their foot/feet gently stretched, and a series of casts applied to correct the
foot. If needed, this is followed by a
small procedure to lengthen the Achilles'
foot brace, also known as the Dennis Browne bar,
is then used to overcorrect the feet and hold them in dorsiflexion
(foot pointing up), external rotation (foot pointing out) and valgus (flattened
arch). It is essential that bracing only starts
once the foot has been fully corrected following plaster casts.
The brace is made up of two shoes attached to an aluminium bar. The distance between the heels
of the shoes is about the width of your
If both feet are
affected, the shoes are set at 60–70
degrees of external (outward) rotation on each side. If only one foot is
affected, the unaffected foot is set at
30-40 degrees of external rotation. In both cases, the bar should bend upwards about
Clubfoot has a tendency to return to its original position (relapse) even after correction. To prevent a relapse, your child’s foot/feet
must stay in the overcorrected position for
the correct length of time.
After the final
plaster cast is taken off and the foot is
fully corrected, your child will wear the brace:
Once your child is wearing the brace for 12 hours a day
(overnight and naps), they will continue wearing the brace until they are four
Further reviews with an
orthotist (brace specialist) and physiotherapist will happen every three months until your child is walking. Once
their feet are stable, your child will be
reviewed every six months. If your
child outgrows the boots (toes hanging over the edge), contact your orthotist.
Orthotics and Prosthetics Department (Allied Health). First Published 2016.
This information is intended to support, not replace, discussion with your doctor or healthcare professionals. The authors of these consumer health information handouts have made a considerable effort to ensure the information is accurate, up to date and easy to understand. The Royal Children's Hospital Melbourne accepts no responsibility for any inaccuracies, information perceived as misleading, or the success of any treatment regimen detailed in these handouts. Information contained in the handouts is updated regularly and therefore you should always check you are referring to the most recent version of the handout. The onus is on you, the user, to ensure that you have downloaded the most up-to-date version of a consumer health information handout.