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Conservative treatment of severe clubfoot using a novel functional dynamic splint

Adachi, Nobuoa; Fukuhara, Koheib; Nakasa, Tomoyukia; Shibuya, Hayatoshia; Okuhara, Atsushia; Kato, Tomohiroa; Ochi, Mitsuoa

Journal of Pediatric Orthopaedics B: January 2015 - Volume 24 - Issue 1 - p 11–17
doi: 10.1097/BPB.0000000000000127

Forty-six severe clubfeet in 29 patients were treated by serial castings, followed by a newly developed dynamic splint. The mean period of splint usage was 59.9 months and the mean period of follow-up was 81.5 months. Of the patients, 76.1% were satisfied, 87.0% had no functional deficit, and 84.8% had no pain. Radiographical evaluation showed good correction. The mean dorsiflexion angle was –0.8° at the end of cast treatment and 13.6° at the time of the final follow-up. This study clearly showed the effectiveness of a functional dynamic splint for the correction of equinus in cases of severe clubfoot.

aDepartment of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University

bFukuhara Orthopaedic Hospital, Hiroshima, Japan

Correspondence to Nobuo Adachi, MD, PhD, Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan Tel: +81 82 257 5231; fax: +81 82 257 5234; e-mail:

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