动力矫形器
该设备允许在一个平面上主动伸展和弯曲。其在踝足矫形器内有定制的插入物。它也有其他组件,使父母更容易应用该设备。[31]Chen RC, Gordon JE, Luhmann SJ, et al. A new dynamic foot abduction orthosis for clubfoot treatment. J Pediatr Orthop. 2007;27:522-528.http://www.ncbi.nlm.nih.gov/pubmed/17585260?tool=bestpractice.com
A 型肉毒毒素
一些学者在研究使用 A 型肉毒毒素代替跟腱延长术并证实有一定疗效。然而,该方法并未被广泛接受。[34]Alvarez CM, De Vera MA, Chhina H, et al. The use of botulinum type A toxin in the treatment of idiopathic clubfoot: 5-year follow-up. Pediatr Orthop. 2009;29:570-575.http://www.ncbi.nlm.nih.gov/pubmed/19700985?tool=bestpractice.com[35]Cummings RJ. The effectiveness of botulinum A toxin as an adjunct to the treatment of clubfeet by the Ponseti method: a randomized, double blind, placebo controlled study. J Pediatr Orthop. 2009;29:564-569.http://www.ncbi.nlm.nih.gov/pubmed/19700984?tool=bestpractice.com