Clubfoot

The patient has returned to the office today. He was here earlier today for fitting of his clubfoot orthosis. It was too small because he had grown. Because it had never been delivered, I remade it adding material in the appropriate areas. He returned this afternoon for the fitting. It fit very well. Appropriate trimlines and proper clearances were established. Donning, doffing, weaning, and wearing was discussed with his mother. Of note today was that the patient has the presents of chaffing and mild irritation of the skin on the calcaneal area and on the 1^st metatarsal area. I think this is because he sweats a lot within the orthosis. I recommended that his mother change his socks at least 2 times per day. I also drilled a vent hole in the heel of the orthosis to provide him with air circulation in this area. Followup as needed. They will be returning to the physician for a checkup.