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Bae Orthotics Clubfoot Orthotic William Porter Alexis Wickwire Erika Franzen Dr. Morey Moreland 02/08/2005

Clubfoot Orthotic

William Porter

Alexis Wickwire

Erika Franzen

Dr. Morey Moreland

02/08/2005

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

What is Clubfoot? • Talipes Equinovarus • Congenital Deformity or acquired condition • Affects bones, joints,

More Facts on Clubfoot

~100,000 born each year in the world

5 to 7 times more children born with it in

third world countries

Almost half babies born with the condition have bilateral clubfoot

In Uganda

10,000 current cases 1,000 born each year

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.

An infant with unilateral clubfoot An infant with bilateral clubfoot An infant being treated with castings

An infant with unilateral clubfoot

An infant with unilateral clubfoot An infant with bilateral clubfoot An infant being treated with castings

An infant with bilateral clubfoot

An infant with unilateral clubfoot An infant with bilateral clubfoot An infant being treated with castings

An infant being treated with castings

Current Braces

Problems with current braces:

Expensive ($200 to $300)

Uncomfortable Hard to keep children in them

Parents will allow kids to take it off because cause discomfort

They do not keep feet at optimal position

DBB both feet must be kept in brace

Current Braces Problems with current braces: • Expensive ($200 to $300) • Uncomfortable Hard to keep

Wheaton Brace

Current Braces Problems with current braces: • Expensive ($200 to $300) • Uncomfortable Hard to keep

Dennis Brown Bar

The Primary Objectives

Fabricate an orthotic device to successfully treat patients (approximate age 1-3 years)

Improve comfort and wearability of the orthosis

Formulate a design to prevent distraction of the foot from the orthosis, as commonly occurs with currently marketed devices

Construct a more economical device for non- invasive treatment to a costly health condition

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

Questions