1. Congenital clubfoot

2. CONGENITAL CLUBFOOT NONOPERATIVE TREATMENT 1. Serial casting 2. Bracing 3. Ponseti method 4.French method

3. CONGENITAL CLUBFOOT Denis Browne splint

4. CONGENITAL CLUBFOOT Disadvantages Denis Browne splint’s 1.It doesn’t provides enough external rotation 2. It requires immobilization of the opposite (sometimes uninvolved) leg. 3. It allows full extension in knee which leads to tension of the heel cord. 1.It doesn’t provides enough external rotation 2. It requires immobilization of the opposite (sometimes uninvolved) leg. 3. It allows full extension in knee which leads to tension of the heel cord..

5. CONGENITAL CLUBFOOT Casting– bracing Casting– Ponseti technique-- bracing Casting– bracing Casting– Ponseti technique-- bracing

6. CONGENITAL CLUBFOOT Close type KAFO

7. CONGENITAL CLUBFOOT Advantages of KAFO 1.Helps to keep the foot and heel in the corrected position. 2.Provides rotational control of the foot through sub-taller joint. 3.Maintains the heel cord in a relaxed position. 4.Allows some active motion in the knee, limiting full extension.

8. CONGENITAL CLUBFOOT THANK YOU