After a period of time, the shape of the foot gradually returns to normal, and parents are very happy. However, this is only the first stage of the treatment of horseshoe foot, and the next step is to enter the second stage: to find ways to maintain the orthopedic effect and prevent recurrence. The main means of this section is to wear a brace to maintain the orthopedic effect, the relevant details are as follows: 1. There are two commonly used braces: Denis-Brown brace and ankle brace (AFO). The Denis-Brown brace is preferred, and its basic principle is to place the affected foot in an abducted and externally rotated position, which is, in fact, an overkill position. Then. It is then connected to the contralateral foot by a linkage bar (beam) so that the corrected position can be maintained. The abducted and externally rotated position of the affected foot can be adjusted and fixed by means of a knob on the bottom of the foot. However, there is a basic requirement: the abduction of the affected foot should be 60 to 70 degrees, and the normal foot should be 30 to 40 degrees. Some of the Denis-Brown braces are heavy, so it is best to use your hands to hold the crossbar of the Denis-Brown brace when holding your child. The ankle-foot brace is lighter, however, its application is rather limited. It is usually recommended to use the ankle-foot brace when carrying the child to outdoor activities to avoid outsiders’ lack of understanding. 2.How to wear the brace: As long as the weather is not very hot, it is recommended to put cotton socks, cotton lining or other cotton clothing on the child to play the role of padding. Wear the brace on the outside of the liner. 3. Method of wearing shoes: Denis-Brown brace has a pair of shoes. The child’s foot was originally sagging (horseshoe foot), and after orthopedics, the foot can be flattened, i.e., it can reach 90 degrees of dorsal extension. To maintain this position, the sole of the child’s foot must be placed in the heel position of the shoe, with close contact and without leaving a gap, leaving a gap means that the child’s foot is in a sagging state and the horseshoe deformity is prone to recurrence. The child’s foot was originally inwardly rotated (inwardly turned foot), after correction to the normal position, it is necessary to rely on the shoe abduction and external rotation position to maintain, the specific angle see the description above. Finally, tighten the shoelaces and tie them firmly. 4, the treatment of toes: congenital clubfoot children forefoot inward, toes followed by inward tilt. After manipulation and plaster orthopedic, the toe inward slant will be improved, but some children’s toes will remain some inward slant. This requires wearing the brace with the toes straight and with some loose cloth embedded between the toes to help keep the toes straight. On the other hand, you can take off the brace, first give a manual massage, to straighten, and then wear the brace. 5.The time of using the brace: wear it for 23 hours a day in the first three months, and wear it every night and at noon when the child is sleeping for the next 2~4 years. In the learning to walk stage, the brace can be removed, so that the child can easily learn to walk. 6.How to prevent muscle atrophy during wearing the brace? When a child wears a brace, the range of motion of the lower extremities and feet decreases and the number of activities decreases, so parents are very concerned about whether the muscles in the child’s legs will atrophy. Reduced limb movement is usually not severe enough to cause muscle atrophy, but there are still ways to avoid it. For example, the time spent without the brace (only one hour in the first trimester) is divided equally between 20 minutes in the morning, 20 minutes in the afternoon, and 20 minutes in the evening, and the child is given some lower extremity massage during the “rest” period without the brace. If the child’s horseshoe foot is better corrected, the Denis-Brown brace can be replaced with an ankle-foot brace for one to two hours a day, as the former is lighter and the child can stomp and move more freely. In some children, the problem of preventing muscle atrophy in the lower extremities will be more prominent. This is because some children with congenital clubfoot have shortened calf bones themselves, congenital hypoplasia of the calf muscles and smaller foot development. The above measures should be more aggressive.