Unilateral Abduction Dorsiflexion Mechanism Brace as an Attractive Alternative of Congenital Talipes Equino-Varus Treatment – a Preliminary Report

Document Type : CASE REPORT


Department of Trauma and Orthopedic Surgery, University Hospital Crosshouse, Scotland


Ponseti method of CTEV treatment includes use of a foot orthosis, compliance with this can be a 
challenge. A new brace- Abduction Dorsiflexion Mechanism brace (ADM, C-Prodirect) was introduced 
to address this. The aim of the study was to assess whether the new AD M brace improves compliance 
and prevents relapse in children with corrected clubfoot. Eight children with unilateral CTEV who did 
not tolerate the standard brace were included in the study. All children had been previously treated with 
Ponseti casting, Achilles tenotomy and Ponseti AFO Abduction Brace (C-Prodirect®). The mean age 
of children included was 27 months. Parents’ satisfaction with the brace was assessed using Client 
Satisfaction with Device (CSD) questionnaire. Parents reported better tolerance o f the brace by the 
child in six out of eight cases. ADM brace is viable alternative in maintaining correction of unilateral 
idiopathic CTEV when compliance to standard AFO abduction brace is poorly tolerated.
 Level of evidence: IV


Main Subjects

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