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What is Clubfoot?
Talipes Equinovarus Congenital Deformity or acquired condition Affects bones, joints, muscles, and blood vessels Occurs once per 1000 live births is the U.S. The foot is pointing downwards and twisted inwards
Only one trained surgeon to treat condition Need a non surgical answer to the condition
Treatment Options
Physiotherapy - The aim is to stretch the ligaments and tendons into the correct position. Strapping - Strips of adhesive strapping are passed around the foot, up the sides of the leg, and over the top of the knee, to hold the foot in a corrected position. This is usually done weekly, following some physiotherapy. Plaster fixation - The surgeon manipulates the foot into position, and holds it in place with plaster. This needs to be repeated about every week for 3 to 6 months. Ponseti Method - The treatment involves weekly stretching of the foot deformity in the clinic, followed by the application of long leg plaster casts. The cast is changed every 1 or 2 weeks. The physician may performs a tenotomy, an Achilles tendon lengthening using non-invasive surgery. Splinting - There are different types of splint available that may be worn just at night, or for most of the time.
Most reports only show a success rates of less than 50%. Almost all of the treatments need to be followed by a braces to hold the foot in the correct position for an extend period of time.
Current Braces
Problems with current braces:
Expensive ($200 to $300) Uncomfortable Hard to keep children in them
Wheaton Brace
Achievements to Date
Guidance by Dr. Moreland on the condition and current methods of treatment Decided on a preliminary design Contacted companies about buying portions of the prototype from standard orthotic parts Obtained a Dennis Brown Bar to examine and model our device after
Conditions for Success Hard to find a infant with clubfoot to test prototype
If the brace:
Holds the foot in the correct position for extend periods of time Comfortable for infant to wear Cheaper than other braces on the market
Personal Role
Brainstorm possible redesigns of device Construct prototype Drawings of possible redesigns Implement validation and verification protocols on the prototype Clinical evaluation of prototype
Questions