Guest guest Posted March 10, 2005 Report Share Posted March 10, 2005 Sharing the following, from the current issue of the Journal of Pediatric Orthopedics. the answer to the title is 'yes', of course. (longer follow up would be interesting) This was the first time I've seen " FAO " .. foot abduction orthosis. I've also seen " Ponseti brace " quite frequently lately. (As I understand it, DBB is not an accurate term, when applied to the brace used in the method, though frequently called so anyway.) and Claire ................................. Use of the Foot Abduction Orthosis Following Ponseti Casts: Is It Essential? Journal of Pediatric Orthopedics. 25(2):225-228, March/April 2005. Thacker, Mihir M MD; Scher, M MD; Sala, Debra A MS, PT; van Bosse, Harold J. P MD; Feldman, S MD; Lehman, Wallace B MD Abstract: The purpose of this study was to evaluate the need for the use of a foot abduction orthosis (FAO) in the treatment of idiopathic clubfeet using the Ponseti technique. Forty-four idiopathic clubfeet were treated with casting using the Ponseti method followed by FAO application. Compliance was defined as full-time FAO use for 3 months and part-time use subsequently. Noncompliance was failure to fulfill the criteria during the first 9 months after casting. Feet were rated according to the Dimeglio and Pirani scoring systems at initial presentation, at the time of FAO application, and at 6 to 9 months of follow-up. At the time of application, no significant differences in scores were found between the groups. At follow-up, the compliant group's scores were significantly (P < 0.01) better than those of the noncompliant group. From the time of application to follow-up, for the compliant group, the Dimeglio scores improved significantly (P = 0.005). For the noncompliant group, the Dimeglio scores deteriorated significantly (P = 0.001). The feet of patients compliant with FAO use remained better corrected than the feet of those patients who were not compliant. Proper use of FAO is essential for successful application of the Ponseti technique. © 2005 Lippincott & Wilkins, Inc. Quote Link to comment Share on other sites More sharing options...
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