Guest guest Posted January 17, 2005 Report Share Posted January 17, 2005 Just curious, how old is your daughter now? How is her foot? Kaitlin never had tenotomy and I have often wondered if we will regret not having one later in time. I am so afraid that she will turn 2 or 3 and have to have one then and then have to wear the 3 week cast. She also has excellent dorsiflexion (26 degrees) which is odd b/c before she started wearing the 's she only had 15 degrees. I am just curious, about you experience b/c most babies on this board had tenotomies. The only thing about Kaitlin's foot is that Dr. Frick said that her heel hasn't dropped completely down yet...he says that will come with walking. which she does fine as long as she is pushing a toy or we are holding her hand. I am just afraid that it won't, because isn't that the main purpose of a tenotomy? Thanks, Freeman In a message dated 1/17/2005 9:13:29 PM Pacific Standard Time, jowalton68@... writes: > > > I believe the figure generally quoted for the percentage of children who > need tenotomies is 85%. > > I heard a doctor from Brasil speak about the issue of whether or not to do > tenotomy. Initially, when she first started doing the Ponseti method, if she > > wasn't sure the child needed the tenotomy, she would put the child in the > dbb and do a tenotomy later if necessary. Now, she does tenotomies over 90% > of the time. I heard several doctors from around the world reporting on > their statistics, and most were performing tenotomies over 90% of the time. > I think the general consensus was that it wouldn't hurt, so might as well go > > ahead now instead of later. > > My daughter did NOT have a tenotomy. I'm wondering if this has been a poll > question in the past? Can't remember.... > > When Dr. Herzenberg was trying to decide whether or not to let her out of > the dbb at 3 years old, one of the things he said when listing the reasons > why she could stop wearing the shoes was " well, she didn't have a > tenotomy... " meaning her foot was an extremely mild case and her > dorsiflexion was excellent. > > Hope this helps a little... JOanne W. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2005 Report Share Posted January 17, 2005 I believe the figure generally quoted for the percentage of children who need tenotomies is 85%. I heard a doctor from Brasil speak about the issue of whether or not to do tenotomy. Initially, when she first started doing the Ponseti method, if she wasn't sure the child needed the tenotomy, she would put the child in the dbb and do a tenotomy later if necessary. Now, she does tenotomies over 90% of the time. I heard several doctors from around the world reporting on their statistics, and most were performing tenotomies over 90% of the time. I think the general consensus was that it wouldn't hurt, so might as well go ahead now instead of later. My daughter did NOT have a tenotomy. I'm wondering if this has been a poll question in the past? Can't remember.... When Dr. Herzenberg was trying to decide whether or not to let her out of the dbb at 3 years old, one of the things he said when listing the reasons why she could stop wearing the shoes was " well, she didn't have a tenotomy... " meaning her foot was an extremely mild case and her dorsiflexion was excellent. Hope this helps a little... JOanne W. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2005 Report Share Posted January 17, 2005 , I was just looking at pictures of Jonah from this summer--before he was walking independantly--and noticing how his heels really have dropped since then. He has been walking for about 4 months now and his feet have never looked better. It was sort of a shocking realization: that his heels have dropped with time and walking. He's still got lots of over-correction, looks a little like Charlie Chaplin when he walks. Naomi The Family Naomi Hannah(02/21/01) Jonah(06/20/03, bilateral clubfoot, FAB 14/7) mjz28ss@... wrote: Just curious, how old is your daughter now? How is her foot? Kaitlin never had tenotomy and I have often wondered if we will regret not having one later in time. I am so afraid that she will turn 2 or 3 and have to have one then and then have to wear the 3 week cast. She also has excellent dorsiflexion (26 degrees) which is odd b/c before she started wearing the 's she only had 15 degrees. I am just curious, about you experience b/c most babies on this board had tenotomies. The only thing about Kaitlin's foot is that Dr. Frick said that her heel hasn't dropped completely down yet...he says that will come with walking. which she does fine as long as she is pushing a toy or we are holding her hand. I am just afraid that it won't, because isn't that the main purpose of a tenotomy? Thanks, Freeman In a message dated 1/17/2005 9:13:29 PM Pacific Standard Time, jowalton68@... writes: > > > I believe the figure generally quoted for the percentage of children who > need tenotomies is 85%. > > I heard a doctor from Brasil speak about the issue of whether or not to do > tenotomy. Initially, when she first started doing the Ponseti method, if she > > wasn't sure the child needed the tenotomy, she would put the child in the > dbb and do a tenotomy later if necessary. Now, she does tenotomies over 90% > of the time. I heard several doctors from around the world reporting on > their statistics, and most were performing tenotomies over 90% of the time. > I think the general consensus was that it wouldn't hurt, so might as well go > > ahead now instead of later. > > My daughter did NOT have a tenotomy. I'm wondering if this has been a poll > question in the past? Can't remember.... > > When Dr. Herzenberg was trying to decide whether or not to let her out of > the dbb at 3 years old, one of the things he said when listing the reasons > why she could stop wearing the shoes was " well, she didn't have a > tenotomy... " meaning her foot was an extremely mild case and her > dorsiflexion was excellent. > > Hope this helps a little... JOanne W. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2005 Report Share Posted January 18, 2005 Thank you so much Naomi, that really makes me feel better! Freeman In a message dated 1/17/2005 10:50:24 PM Pacific Standard Time, powellbugs@... writes: > > , > > I was just looking at pictures of Jonah from this summer--before he was > walking independantly--and noticing how his heels really have dropped since then. > He has been walking for about 4 months now and his feet have never looked > better. It was sort of a shocking realization: that his heels have dropped > with time and walking. He's still got lots of over-correction, looks a little > like Charlie Chaplin when he walks. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2005 Report Share Posted January 18, 2005 , So you're one of the 10% too! Try not to worry. I know I was until we got to Dr. Herzenberg for a second opinion. Our doctor had said 60% of kids need tenotomy, then I learned on this board it was more like 85%. I think Dr. Herzenberg indicated that his tenotomy rate was over 90%, but I feel that he tends to err on the side of caution. My daughter is now 3 3/4. Her foot is excellent. The shoes actually improve dorsiflexion I believe because of their weight. It helps stretch the achilles more... someone correct me if I'm wrong but I swear I read that somewhere... The shoes do not correct the foot, but they assist with helping the heel form and the achilles remaining flexible... There was a huge discussion at the symposium about Dr. Pirani's rating scale for clubfoot. He has a rating for the heel pad. A doctor from Australia said it was not necessary because the heel doesn't come down until they start walking, and most docs stop using the rating scale once the child's feet are corrected and they start wearing the bar, well before the child is walking. Dr. Pirani acknowledged that he was probably right, but didn't want to change it now. Then he did say that if the heel was NOT a zero (meaning empty), that would signify that the doctor isn't correcting properly, ie rockerbottom. Hope that makes sense! best, Joanne W. Message: 19 Date: Tue, 18 Jan 2005 00:43:24 EST From: mjz28ss@... Subject: Re: tenotomy or no tenotomy Just curious, how old is your daughter now? How is her foot? Kaitlin never had tenotomy and I have often wondered if we will regret not having one later in time. I am so afraid that she will turn 2 or 3 and have to have one then and then have to wear the 3 week cast. She also has excellent dorsiflexion (26 degrees) which is odd b/c before she started wearing the 's she only had 15 degrees. I am just curious, about you experience b/c most babies on this board had tenotomies. The only thing about Kaitlin's foot is that Dr. Frick said that her heel hasn't dropped completely down yet...he says that will come with walking. which she does fine as long as she is pushing a toy or we are holding her hand. I am just afraid that it won't, because isn't that the main purpose of a tenotomy? Thanks, Freeman Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.