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The Dennis-Brown boot and bar brace, (also known as the Markell brace), is most commonly used (Figure 1). It consists of two straight-border, high-top, open-toe shoes that are attached to an aluminum bar. The distance between the heels of the shoes is equal to the width of the baby’s shoulders.
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When your baby should wear the brace
Your surgeon or paediatrician may advise that your baby wears the DB bar: 1. 24 hours a day without removing it at all, or 2. all the time except when bathing, or 3. only when sleeping.
Putting the brace (orthosis) on
1. When putting the brace on, make sure the foam tabs are on top and the buckle is facing you. 2. Straps come from the back of the brace, run over the top of the thigh through the buckle, then back upon themselves to attach on the back of the cuff. 3. Always put a lining made of soft fabric on the skin under the cuffs (cotton socks with the foot cut off work well). 4. Each cuff should be fastened firmly around the thigh with a snug fit. You should be able to fit just the tip of your finger un...
Getting used to the brace
1. It takes some babies a couple of days to get used to the brace. Some babies may cry or seem unsettled for the first couple of nights. This should settle down after a few days.
The orthotist will arrange regular appointments to monitor your baby's growth and adjust the DB bar as needed.Contact the orthotist if you have any questions or concerns about your child's treatment or the DB bar.Monitor your baby's skin each day and thoroughly clean their skin. Contact the orthotist if any skin irritation or redness gets worse or if your baby's skin is broken.If you have been told that you can take the brace off, try to keep your baby's legs apart when bathing your baby, changing nappies or settling your baby to sleep.The inside of the cuffs and the brace need to be cleaned at least once a day. Make sure the brace is completely dry before putting it back on your baby.Vary the position of your baby's head when they sleep to avoid a flat spot developing.Kids Health Info fact sheet: Developmental Dysplasia of the Hip (DDH)Kids Health Info video: Developmental Dysplasia of the Hip (DDH)Kids Health Info video: Denis Browne Bar for DDHKids Health Info fact sheet: Plagiocephaly - misshapen headPeople also ask
What is a Denis Browne bar?
What is a Denis Browne hip abduction brace?
When do you need a brace?
What type of brace should a baby wear?
A Foot Abduction Brace (also commonly mis-labeled a Denis Brown Bar or DBB) consists of an adjustable length aluminum bar with adjustable footplates onto which shoes attach. It is recommended that an adjustable bar is used instead of a fixed length bar because the child will quickly outgrow the fixed length bar.
The Denis Browne bar, also known as the Denis Browne splint or foot abduction orthosis, is a medical device used in the treatment of club foot. The device is named after Sir Denis Browne (1892-1967), an Australian-born surgeon at Great Ormond Street Hospital in London who was considered the father of pediatric surgery in the United Kingdom. [1]
- Denis Browne splint
- orthopedic
2. Ensure brace is correct way up (smiley face towards you) 3. With your baby on their back, lift bottom up and place the bar underneath. Your baby will fit in the middle of the brace and you will notice the bar follows the contour of the nappy and bottom. The plastic and foam thigh cuffs ‘self-locate’, so all you have to do is secure them ...
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The Denis-Browne Bar is a device attached to the bottom of the child’s shoes and worn at night The splint consists of a spreader bar and two metal plates or brackets to which shoes are attached. The shoe plates can be attached in two ways, i.e. fastened to the bar with a clamp to the side of the shoe, or screwed into the bottom of the shoe.
Wipe the legs and the brace with a damp face washer. Dry the legs and the brace very well with a towel, ensuring the brace is as dry as possible. The straps may remain slightly damp. Do not use a hairdryer or heater for drying the brace. Apply a clean nappy and clean pants. Put the brace back on, ensuring the straps are firm.
