Re: Re: ATTT and 70* rotation

[Guest guest]

You have to realize that a large percent of the people you see online have come

searching because they are having some sort of problem. This is true of any web

group. In an expecting club for pregnant mothers, there is an unusually large

percent of women who are high risk ... it is very much the same here. Many of

the parents here have come here after having experience with a non-Ponseti

doctor who has done more damage than good ... or have children who wont stay in

the shoes or their foot doesnt look right and end up having atypical (which

often requires extra casting) or whose child has relapsed due to coming out of

the brace too soon. In result, what seems like alot of children are actually

those who fall into the 5% or simply did not stay in the brace long enough (or

proper hours). In reality, there are thousands - even tens of thousands - of

children treated with this method world-wide that we hear nothing about and who

do just fine.

Another thing is that the ATTT is alot less damaging than the reconstructive,

posterior release or other types of clubfoot surgery. It quite literally moves

a tendon from one spot to another, rather than cutting bones or opening joints.

Even if every child here had to have this surgery, it is STILL alot better than

the alternative.

As for the 70* ... yes, most kids stay at this degree for the full time. It

doesnt have any long term impact on the foot besides preventing relapse. Stand

up and turn your foot out to the side. Chances are you can achieve AT LEAST 70*

of rotation without any discomfort. It is well within the natural range of

motion for a normal ankle. Some kids - those with loose ligaments and some with

atypical clubfoot - will have the angle reduced some because it causes minor

problems, but even in these cases the rotation is rarely less than 50* and any

damage done by the 70* is gone within weeks of reducing the angle.

Don't worry ... you are asking well informed, smart questions. That is what a

parent is supposed to do. I hope this has helped ease your fears a bit!

Angel

---------------------------------------------------------------

If the Ponseti method is so successful, then how come so many Ponseti patients

have required ATTT or a second tenotomy? I just want to make sure I'm doing

what's best for my son by using a doc who is Ponseti-trained. It seems like the

way to go, but more and more, I read aboutthe foot relapsing or possibly

remaining overcorrected or lengthening procedures being performed anyway...

Ugh, I'm just stressed.

Also, another question. After the 23/7 for 3 months wear of the DBB, is the

degree that the CF is positioned at reduced at all? Or does it remain at 70

degrees for the next 3 years of wear??

[Guest guest]

thank you for a very consistent reply.

And I'd like to thank the author of the question as well for putting my thoughts

in words.

kitaki m_kitaki@...> wrote:

You have to realize that a large percent of the people you see online have come

searching because they are having some sort of problem. This is true of any web

group. In an expecting club for pregnant mothers, there is an unusually large

percent of women who are high risk ... it is very much the same here. Many of

the parents here have come here after having experience with a non-Ponseti

doctor who has done more damage than good ... or have children who wont stay in

the shoes or their foot doesnt look right and end up having atypical (which

often requires extra casting) or whose child has relapsed due to coming out of

the brace too soon. In result, what seems like alot of children are actually

those who fall into the 5% or simply did not stay in the brace long enough (or

proper hours). In reality, there are thousands - even tens of thousands - of

children treated with this method world-wide that we hear nothing about and who

do just fine.

Another thing is that the ATTT is alot less damaging than the reconstructive,

posterior release or other types of clubfoot surgery. It quite literally moves

a tendon from one spot to another, rather than cutting bones or opening joints.

Even if every child here had to have this surgery, it is STILL alot better than

the alternative.

As for the 70* ... yes, most kids stay at this degree for the full time. It

doesnt have any long term impact on the foot besides preventing relapse. Stand

up and turn your foot out to the side. Chances are you can achieve AT LEAST 70*

of rotation without any discomfort. It is well within the natural range of

motion for a normal ankle. Some kids - those with loose ligaments and some with

atypical clubfoot - will have the angle reduced some because it causes minor

problems, but even in these cases the rotation is rarely less than 50* and any

damage done by the 70* is gone within weeks of reducing the angle.

Don't worry ... you are asking well informed, smart questions. That is what a

parent is supposed to do. I hope this has helped ease your fears a bit!

Angel

---------------------------------------------------------------

If the Ponseti method is so successful, then how come so many Ponseti patients

have required ATTT or a second tenotomy? I just want to make sure I'm doing

what's best for my son by using a doc who is Ponseti-trained. It seems like the

way to go, but more and more, I read aboutthe foot relapsing or possibly

remaining overcorrected or lengthening procedures being performed anyway...

Ugh, I'm just stressed.

Also, another question. After the 23/7 for 3 months wear of the DBB, is the

degree that the CF is positioned at reduced at all? Or does it remain at 70

degrees for the next 3 years of wear??