Forefoot correction
John Boldt
Description
Collection
Title:
Forefoot correction
Creator:
John Boldt
Date:
12/16/2013
Text:
Hello list,
I have a pediatric patient who suffered a TBI in infancy who is now 12 years old and growing. Over the years we have maintained a corrected position of his feet using AFOs however in the last year we seem less able to apply corrective forces he can tolerate due to his size and continued mid-foot collapse. He presents with a great deal of forefoot adductus and external rotation. He has also begun to develop pinch callusing on the great toe.
My question is: has anyone come up with a good way to provide additional forefoot correction either through strapping or modification technique?
I am using molded poly boots to encompass most of the foot to provide as much correction as he can tolerate. His father is asking if there is a way to control the great toe. We've discussed a toe strap but understand it may be poorly tolerated. Any suggestions are welcomed!
Thanks!
John Boldt, C.P.O.
I have a pediatric patient who suffered a TBI in infancy who is now 12 years old and growing. Over the years we have maintained a corrected position of his feet using AFOs however in the last year we seem less able to apply corrective forces he can tolerate due to his size and continued mid-foot collapse. He presents with a great deal of forefoot adductus and external rotation. He has also begun to develop pinch callusing on the great toe.
My question is: has anyone come up with a good way to provide additional forefoot correction either through strapping or modification technique?
I am using molded poly boots to encompass most of the foot to provide as much correction as he can tolerate. His father is asking if there is a way to control the great toe. We've discussed a toe strap but understand it may be poorly tolerated. Any suggestions are welcomed!
Thanks!
John Boldt, C.P.O.
Citation
John Boldt, “Forefoot correction,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/235861.
