The treatment involves serial manipulation and plaster casting of the clubfoot. The ligaments and tendons of the foot are gently stretched with weekly, gently manipulations.A plaster cast is then applied after each week sessions to retain the degree of correction obtained and to soften the ligaments.Five long leg casts(from toes to the hips)are applied with the knee at right angle. after removal on the 4 cast the orthotist will measure for boots and bar bracing. after the 5 cast tenotomy is performed, this procedure is done in the outpaitient's department plaster room. This is a quick cut of the acchilles tendon under local anaesthetic.Following the tenotomy, the foot is placed in a long leg cast for three weeks. Once the cast is removed, kid will be fitted with a speical orthopaedic device known as denis browne bar by an orthotis. The boot and bar is worn fulltime for the first three months then at a naptime and night time up to the age of four years old. it's important that this routine is followed. without the bracing the deformity can recur.
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