Until recently, the most innovative nonsurgical treatment for clubfoot was developed in the 1950’s. The treatment, developed by Dobbs’s mentor at the University of Iowa, Ignacio Ponseti, MD, involves weekly casting and manipulation of the clubfoot starting soon after birth. Then, the children have traditionally worn a solid aluminum bar with shoes attached at night until about age 4 to maintain correction of the foot. The problem with that brace is that it restricts the child’s movement and has the potential to cause skin blistering, which deterred many parents away from using the brace as prescribed. Using the brace less than prescribed can lead to recurrent clubfoot deformities, which may eventually require extensive surgery.
Intent on making the brace easier to tolerate for both patients and families, Dobbs designed a new dynamic brace to allow active movement, preserve muscle strength in the foot and ankle and be less restrictive to the child than the traditional version. The new brace, patented as the Dobbs Brace, has resulted in significantly improved compliance and fewer complications than the traditional brace.
In a recent study 95 percent of parents used the Dobbs Brace as prescribed, compared to 60 percent compliance with traditional bracing.
The Dobbs Bar should be worn 23 hours a day for the first 3 months and then at nighttime and naps for 3 to 4 years.
Bracing is critical in maintaining the correction of clubfeet. If the brace is not worn as prescribed, there is a near 100 percent recurrence rate.
The Dobbs Bar can be attached to Markell Straight Last Shoes, custom made AFO's or Mitchell Clubfoot Sandals.
Easy to Use
Active Dorsiflexion Stretch
Better Muscle Development
Reduced Risk of Relapse
Certified Orthotists wishing to setup an account call (314) 968-8555 or contact one of the following distributors:
Cascade (800) 888-0865
Markell (914) 963-2258
MD Orthopaedics, Inc. (877) 766-7384
PEL Supply Co. (800) 321-1264
SPS (800) 767-7776
Action O&P Int.
(800) 337-1947 (Canada)
0844 335 6460 (UK only)
+44 (0)1732 860158 (UK and Abroad)
KEIAI Orthopedic Appliance
(012) 3019 3030 (Brazil)
Dobbs Bar - L2300
L2768 x 2 (for QDCB & DCBMD only)
Dobbs Clubfoot AFO - L1960
Molded Inner Boot - L2280