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Pediatrics· 5 min read· 01/01/2025

Orthotic Applications for PEV (Congenital Clubfoot)

What is PEV (congenital clubfoot), how is a foot abduction orthosis used and what should be considered in its care? Information under a physician's guidance.

Main topic: Children's prostheses
Orthotic applications for PEV (congenital clubfoot): Foot analysis in a clinical setting

PEV (pes equinovarus) is a congenital foot deformity in which the baby's foot turns inward and the sole of the foot faces inward and sometimes upward. It is known as one of the common foot deformities present at birth. Unlike conditions affecting the foot such as flat feet, PEV is a congenital deformity. This content aims to provide general information about the process.

General Information About PEV and the Treatment Process

In the management of PEV, serial casting, stretching exercises and orthotic application are frequently used together. One of the commonly used approaches is the gradual casting method. It is recommended that this process be planned in the early period after birth and with the specialist physician's assessment. Among congenital musculoskeletal conditions, developmental dysplasia of the hip is also one of the conditions requiring early assessment. The relevant physician decides which method will be applied.

What Is a Foot Abduction Orthosis (Bar)?

A foot abduction orthosis is a device used in the management of clubfoot that helps hold the feet at a certain angle. There may be models with special shoes, and it can also be custom-made. Which option is suitable is decided as a result of the assessment by the physician and the practitioner specialist. The opening in the heel area helps to observe the position of the foot within the device.

Points to Consider in Use and Care

General recommendations that may help families while the orthosis is in use are the following:

  • You can make the process easier by playing gentle games with your child while the device is on.
  • Establishing a regular habit of putting it on during sleep and at night may improve compliance.
  • Fasten the straps and buckles so that the heel stays inside the shoe.
  • Check the skin for redness several times a day.

All orthotic applications and durations of use are determined in line with the specialist physician's prescription and medical report; these applications are planned individually within the scope of prosthetic and orthotic services for children.

This content is for informational purposes only; you should consult your physician for diagnosis and treatment.

This content is for information only and does not replace diagnosis or treatment. Applications are carried out in line with a specialist physician's prescription or medical report. Results may vary from person to person; you are advised to obtain a detailed opinion from your physician before the procedure. · Last updated: 01/01/2025