The Denis Browne Brace is used to prevent relapse of clubfoot (CTEV) after treatment, typically following the Ponseti method. It works by holding the feet in an externally rotated position, ensuring proper alignment as the child grows. ________________________________________ Mechanism of Action Maintains Foot Position The brace consists of a metal bar with shoes attached at a fixed angle. It keeps the feet in external rotation (70° for affected feet, 40° for unaffected feet) to prevent the inward turning of clubfoot from recurring. Prevents Muscle Imbalance Clubfoot can relapse due to muscle tightness and imbalance. The brace stretches the Achilles tendon and foot muscles, ensuring proper alignment. Encourages Proper Growth By holding the feet in the corrected position, the brace allows bones, muscles, and ligaments to develop normally. It prevents the foot from reverting to its pre-treatment deformed shape. Promotes Active Movement The child can still kick and move their legs, helping to strengthen muscles. Unlike a cast, the brace allows controlled movement while maintaining the correct foot position. ________________________________________ Key Points About Usage Initially worn 23 hours per day for the first 3 months after casting. Later, used only during sleep (12–14 hours per night) until the child is 4–5 years old. Denis Browne Brace Clubfoot brace CTEV brace Clubfoot treatment Clubfoot correction Nighttime brace for clubfoot # evolution healthcare pvt ltd #. # surat # mumbai# pune # kolkata#