Stage A
1. In a young baby it is
often necessary to cast
the whole leg with the
knee bent to keep the cast
from slipping down. First,
wrap cotton padding evenly
around the whole leg.
CORRECTING CLUB FEET 567
2. Cast the leg and
foot. Make the cast
especially thick around
the knee and heel,
where he is more
likely to bump it.
3. After the plaster
is dry, cut out a
wide ring from heel
to mid-foot.
4. Gently and slowly
begin to stretch the
foot OUT and DOWN.
(Do not try to bring it
up yet.)
Put extra thick
padding over bony
spots (see p. 560).
Put bits of cotton
between the toes.
(Take them out after
the foot has been cast.)
Make it
wider
on this side.
5. To keep edges
of cast from hurting
the skin,
bend them
out with
pliers.
6. Put a ring of cotton or soft
gauze over the foot and cover
with new plaster bandage.
gauze
new
plaster
Press the soft
plaster into
groove and smooth
with fingers.
7. Once or twice a week take
off the outer ring of plaster, bend
the foot down and out a little
more, and cover with a new ring
of plaster.
Hold the
foot in the
new position
until the
plaster
hardens.
Repeat Step 7
until the foot
bends outward
a little. This
usually takes
several weeks.
Stage B
1. Remove
the whole
cast and
check the
position of
the heel.
Often the heel
still bends in
even after the
bend of the
foot has been
corrected.
Stage C
1. After the
sideways twist
of the foot
and heel is
corrected,
begin to raise
the foot,
using casts.
2. As you wrap the foot with
plaster bandage, hold it in a
raised position with 2 fingers.
BACK VIEW
2. If so, keep
casting the foot
in a down and
out position
until the heel is
straighter.
BEFORE
AFTER
heel
still
bent in
heel
straight
3. Hold the foot up
as the plaster dries.
As you hold the foot,
keep it turned outward
so that the little
toe is always
higher than
the big toe.
Take care to keep
the toes straight.
YES
NO
4. Keep raising the foot
little by little using the
same casting method
as before.
Bend up
cast
edges
with
pliers.
(CAUTION: Be very
careful cast does
not pinch or dig
into skin here.)
5. Raise the foot a little in
this way once or twice a week
until it is as high as this,
or until it
stops raising
for 3 or 4
cast changes.
disabled village children