The Denis Browne bar or splint is a non-surgical treatment for clubfoot. Clubfoot describes a range of foot abnormalities usually present at birth (congenital) in which a baby’s foot is twisted out of shape or position.
Also known as foot abduction orthosis, the Denis Browne bar or splint is a medical device named after Sir Denis Browne, who was a surgeon at Great Ormond Street Hospital in London in the 1930s. This medical device may be used as part of the Ponseti method, which includes non-surgical methods of addressing club foot.
By holding both feet, the Denis Browne bar works by placing the feet in an abducted position. The position of the feet are placed shoulder width apart in boots mounted to a bar with foot plates. The bar/splints provide the most commonly prescribed settings in each of two age and size ranges.
The separation of the heel is precisely set to the most optimum place for each patient. This position may be reset during treatment.
As there are two sizes which satisfy most prescriptions, the cost is cut as your patient can progress with the same bar.
All foot plates have two large pre-drilled holes for splint adaptor screws. The plates also have protractors ruled in 5 degree increments, clearly labelled with the most widely used settings of 45 and 70 degrees.