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Relapsing

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I'd posted this a few times earlier this year, but thought I'd re-

post it again since I just looked it up to use it on the yahoo

clubfoot board.

The most recent thread on this is under #23513.

It also reminded me that we haven't heard from Seema & Zevi for a

while, so I hope everything is going okay for him now!

The doctors are still learning about relapses, what the odds are, and

how to determine when it is safe for a child to stop wearing the

brace. This is information I have from Dr. Morcuende from

earlier this year based on current studies:

" The rate of relapse decreases with age until about 5-6 years of age.

Overall, the odds of relapse if no bracing is used whatsoever is

something like: <12 months = 80-90 %; <2 years: 60-70%; 3-4 years:

20%, 4-6 years; 1%. However, it is not possible to know in which

group a particular patient is in, so you have to treat everyone

cautiously. We are working on determining criteria that will help

indicate odds of relapse, but we have not found any reliable criteria

at this time. "

He was presenting this information at a POSNA conference. Basically,

the longer the child wears the brace, the lower the odds of relapse.

Most doctors will have the child wear the brace as long as they will

tolerate it in the interest of " insurance " against relapse. I hope

this information helps.

Thanks, Seth (& Seema), for the post- we hope Zevi is back on track

soon!

& (3-16-00)

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