Indian Journal of Medicine and Healthcare

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Congenital postero-medial bowing of the tibia (PMBT) and fibula is an uncommon anomaly of unknown etiology and pathogenesis. It is associated with soft tissue contractures at the dorsum of the ankle joint. Evidence suggested that the role of bracing is to improve its function, but none proposed the impact of orthosis on early resolution of mal-position. This case study documents the use of dynamic, hinged ankle foot orthosis using therapeutic stretching techniques in a three years, four months child with PMBT and its relation with rate of resolution of deformity and gait. Direct relationship between bowing angle and leg length discrepancy was observed. The use of brace indicates a higher rate of resolution and an improved symmetrical gait by placing the foot flat to allow walking . Thus, the innovative design for Ankle foot orthosis treatment used in this study is effective in controlling the progression of the deformity and preventing other associated complications.

Keywords

Ankle Foot Orthosis, Gait, Malposition, Posteromedial Bowing, Resolution
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