Desai Lajja, Oprescu Florin, DiMeo Andrew, Morcuende Jose A
Joint Department of Biomedical Engineering, North Carolina State University and The University of North Carolina at Chapel Hill Chapel Hill, North Carolina, USA.
Iowa Orthop J. 2010;30:15-23.
Bracing is a critical component of the current standard of treatment for clubfoot. Adherence to the bracing protocol is the main factor for the long-term success of the treatment The purpose of this paper is to provide a review of clubfoot braces, best practices in brace design and recommendations for bracing in order to improve adherence with the bracing phase of the clubfoot treatment. There are a number of designs and offerings of braces available in various regions of the world. Although many new brace designs are being proposed and developed, evidence in the literature regarding biomechanical effects, clinical outcomes, functionality and patient adherence is limited. The current research that is available regarding brace design focuses on increasing patient comfort and satisfaction to improve adherence. Although the currently available braces are widely distributed in developed countries, access is limited to many parts of the world. When considering the future of the clubfoot treatment and prevention of relapses, since 80% of the cases are in developing countries with limited resources, brace cost and availability needs to be assessed.
支具是当前马蹄内翻足治疗标准的关键组成部分。坚持支具治疗方案是治疗长期成功的主要因素。本文旨在综述马蹄内翻足支具、支具设计的最佳实践以及支具治疗建议，以提高马蹄内翻足治疗支具阶段的依从性。世界各地区有多种支具设计和产品可供选择。尽管许多新的支具设计正在被提出和开发，但文献中关于生物力学效应、临床结果、功能和患者依从性的证据有限。目前关于支具设计的现有研究集中在提高患者舒适度和满意度以改善依从性。尽管目前可用的支具在发达国家广泛分布，但世界许多地区的获取途径有限。考虑到马蹄内翻足治疗的未来和复发预防，由于80%的病例在资源有限的发展中国家，支具成本和可及性需要评估。
