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Related Experiment Video

Updated: Jan 22, 2026

Comparable Decellularization of Fetal and Adult Cardiac Tissue Explants as 3D-like Platforms for In Vitro Studies
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Bracing in clubfoot: do we know enough?

C Alves1

  • 1Serviço de Ortopedia Pediátrica do Hospital Pediátrico - CHUC, EPE, Coimbra, Portugal.

Journal of Children'S Orthopaedics
|July 18, 2019
PubMed
Summary

Foot abduction braces are crucial for preventing clubfoot relapse after Ponseti treatment. Adherence to bracing is key, and further research is needed to optimize duration and schedules for best outcomes.

Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Clubfoot Treatment

Background:

  • The Ponseti method effectively treats clubfoot, yielding high patient satisfaction.
  • Relapse remains a significant challenge in clubfoot management.
  • Bracing plays a vital role in preventing relapse after successful correction.

Purpose of the Study:

  • To review current knowledge on bracing in clubfoot treatment.
  • To discuss controversies and best practices regarding brace use.
  • To identify strategies for improving adherence to bracing protocols.

Main Methods:

  • Description of various foot abduction braces (FABs), their pros, and cons.
  • Analysis of recommended bracing schedules and duration.
  • Identification of adherence challenges and solutions.
Keywords:
Ponseti methodbracingclubfootfamily adherencerelapse prevention

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Main Results:

  • Foot abduction braces (FABs) are used post-correction to maintain abducted and dorsiflexed foot position.
  • Parental non-adherence significantly increases relapse risk (5- to 17-fold).
  • Custom orthoses are an option for persistent adherence issues; clear communication is vital.

Conclusions:

  • Bracing is indispensable for preventing clubfoot relapse.
  • Optimal daily duration and overall length of bracing are undetermined.
  • Further randomized trials are needed to guide clinical and family decisions.