Bracing in the treatment of children with clubfoot: past, present, and future

Lajja Desai; Florin Oprescu; Andrew DiMeo; Jose A Morcuende

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Bracing in the treatment of children with clubfoot: past, present, and future

Journal article

Open access

Peer reviewed

Bracing in the treatment of children with clubfoot: past, present, and future

Lajja Desai, Florin Oprescu, Andrew DiMeo and Jose A Morcuende

The Iowa orthopaedic journal, Vol.30, pp.15-23

2010

PMCID: PMC2958265

PMID: 21045966

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958265/View

Published (Version of record) Open Access

Abstract

Bracing is a critical component of the current standard of treatment for clubfoot. Adherence to the bracing protocol is the main factor for the long-term success of the treatment The purpose of this paper is to provide a review of clubfoot braces, best practices in brace design and recommendations for bracing in order to improve adherence with the bracing phase of the clubfoot treatment. There are a number of designs and offerings of braces available in various regions of the world. Although many new brace designs are being proposed and developed, evidence in the literature regarding biomechanical effects, clinical outcomes, functionality and patient adherence is limited. The current research that is available regarding brace design focuses on increasing patient comfort and satisfaction to improve adherence. Although the currently available braces are widely distributed in developed countries, access is limited to many parts of the world. When considering the future of the clubfoot treatment and prevention of relapses, since 80% of the cases are in developing countries with limited resources, brace cost and availability needs to be assessed.

Braces - trends

Biomechanical Phenomena

Braces - economics

Health Services Accessibility

Humans

Female

Male

Treatment Outcome

Clubfoot - therapy

Patient Compliance

Details

Title: Subtitle: Bracing in the treatment of children with clubfoot: past, present, and future
Creators: Lajja Desai - Joint Department of Biomedical Engineering, North Carolina State University and The University of North Carolina at Chapel Hill Chapel Hill, North Carolina, USA
Florin Oprescu
Andrew DiMeo
Jose A Morcuende
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.30, pp.15-23
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 21045966
PMCID: PMC2958265
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2010
Academic Unit: Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
Record Identifier: 9984040216602771

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