After the casting and achilles tendon lengthening the child is immediately fitted with a maintenance brace (boots and bar). It is crucial that all of the correction gained with plaster casts is maintained with the brace.
The clubfoot brace is an extremely important part of the Ponseti method. It holds the correction of the foot and helps to prevent relapse. For the first 3 months after the foot is corrected the baby should wear the brace for 23 hours a day. It can be removed for an hour at bath time.
After that it’s usually worn while the baby is sleeping (night and daytime naps) for between 12-18 hours up until the age of 4 years, gradually reducing and depending on the individual child’s progress.
The Bangla Brace is modeled on the brace designed in Uganda by Michel Steenbeek. It was endorsed by Dr Ponseti as an effective low-cost option for developing countries. Many studies have shown that correct use of the braces and good compliance gives the best outcomes with the Ponseti method and the least clubfoot relapses.
Walk for Life has established a local brace making facility in Bangladesh and produces over 10,000 braces per year and is even now providing braces to Myanmar, Brazil, Liberia, Papua New Guinea and the Philippines. The facility run by Walk for Life provides local employment and a great sense of satisfaction for those whose jobs are helping a known need in their own country.