title: Nonsurgical treatment of congenital clubfoot with manipulation, cast, and modified Denis Browne splint.
abstract: Between 1974 and 1988, 113 congenital clubfeet in 76 children were consecutively treated by using a modified Denis Browne splint with an aluminum crossbar between a pair of plastic shoe inserts after a few manipulations and a corrective cast. Splintage was followed by surgery in 41 (36%) feet. Sixty-nine feet that did not undergo surgery were evaluated after an average follow-up period of 12 years. Sixty-six (95%) feet were excellent or good, according to the McKay rating system. The success rate of this treatment was 60% when the 41 feet receiving surgery and the three feet with fair or poor outcome were evaluated as failures. The success rate was 42% in severely deformed feet, 70% in moderately deformed feet, and 100% in mildly deformed feet. This treatment was effective for congenital clubfoot with mild or moderate deformity and was sometimes effective for severe deformity.
authors.affiliation: Department of Orthopaedics, Tokyo Medical and Dental University, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Yamamoto
authors.forename: T
authors.initials: T
authors.lastname: Muneta
authors.forename: S
authors.initials: S
authors.lastname: Morita
mesh_terms: D002370:Casts, Surgical; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000628:therapy*; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D011859:Radiography; D013165:Splints; D016896:Treatment Outcome