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They are to wear the braces 23/7 for 3 months AFTER the Tenotomy cast comes OFF.

Christee

Mother of...

*Josh, Central Auditory Processing Disorder/Sensory sensitivity/learning &

Speech disorders (9yrs old)

**Aspen, Bilateral minor Metatarsus Adductus (5 1/2 yrs old)

***Dylan, (4 yrs old)

&

****Lilee ~ Unilateral A-Typical (complex) Club Foot w/Cavus/Plantaris (R

foot) & Mild/Moderate Metatarsus Adductus (L foot).

*Ponseti/ Brace 22/24 until 2/14/06, then to 18/24.

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Hi Bonnie,

Let me give you a quick course in the shoes if you don't mind, it will make it

easier for you to communicate with your doctors and other parents about it all.

The shoes & bar together, the whole " system " is called either a FAB: Foot

Abduction Brace or a DBB: Dennis Brown Bar. Either name, same system of shoes

& bar.

The stiff white shoes on a bar is known as the " Markell " FAB, because it's made

by the Markell company.

The soft sandles on a bar is known as the FAB, as it is made by a man

in Iowa named .

Then of course there is the Dobb's FAB - a whole new system designed by Dr.

Dobbs in St. Louis, Missouri.

AT this time, each system is dependent on it's own bar. That is to say if you

have Markell shoes they need to be on a Markell bar; shoes only fit a

bar, and Dobbs is still a work in progress from what I understand

although I do believe he is trying to make his bar interchangable between shoe

types. Dobbs can be reached at mattdobbs@... to answer your

questions more thoroughly.

If you are interested in the FAB system (sandles), contact

MD Orthopaedics, Inc.

P.O. Box 125

604 North Parkway Street

Wayland, IA 52654

Telephone- 1-

1-(local)

1-(fax)

mdortho@...

And for Markell shoes, I don't have that handy but a google search for Markell

shoes Ponseti or something of that nature, ought to steer you to their web

site.

I hope I helped clear some of that confusion up between the various systems in

use by clubfoot children right now.

s.

Shoe options

Hi! My son has been wearing his shoes for about 3 months now,

everything seems to be going well. We have our first follow up appt. with Dr.

H this week.

I wanted to look into different types of shoes for that would be a

little more

comfortable then the standard hard white ones he has to wear now. On the

Photos links, I

came across a pair of brown sandals that look great and I also saw the Dobbs

bar, which

also looks great because it allows the baby to crawl. I wondered if anyone

knew the name

of those sandals? Is there a website where I can view different shoe options?

Does anyone

know of any tennis shoes that has the bar?

Also one more question, Is the baby suppose to wear the shoes/brace 3 months

straight

23/7 after the tenomy or 3 months straight after the 3 week casting after the

tenomy?

Thanks for your help!

-Bonnie

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Hi Bonnie,

In all honesty, if the Markell's are working you don't need to go to

the other shoes. They ARE softer and perhaps a bit more comfortable

but most babes do just fine in the Markells. They always seemed

comfortable for my daughter even if they are a bit hard seeming to

us. Plus, the Markells are quite a bit cheaper. If your insurance

pays, you should feel free to choose any shoes for your child that

you prefer, but if you're going to have to pay for them yourselves it

may be a different story.

Now, with that said I really, really like the PM's (short for

Ponseti/'s - these are the sandals) for older children who

are standing, walking, etc. For many reasons, but mostly because the

soles are flat on the floor (except for dorsiflexion) and they have

proven to be very easy for my daughter to walk in unaided. She is

however, almost 3yo so walking is a big part of her life lol.

If you want to switch, by all means ask for it. But if money is

tight, you may want to consider waiting till is closer to

walking/pulling to stand to get the most benefit from your $.

I like both shoes, but I am now converted to the PM's because when

she stood in her Markells, her toes would point down as she stood to

steady herself on that bar that sticks down. I didn't really like

that so much, although it didn't seem to cause any issues with her

correction. I just like this flat shoe much better.

HTH - and the 23/7 for 3mo does come after the tenotomy cast is

removed. It will soon be a distant memory, promise!! Just don't let

him reduce to nights only k? I don't think he does but I thought it

worth mentioning again.

Kori

At 04:10 PM 1/29/2006, you wrote:

>Hi! My son has been wearing his shoes for about 3

>months now,

>everything seems to be going well. We have our first follow up

>appt. with Dr. H this week.

>I wanted to look into different types of shoes for that

>would be a little more

>comfortable then the standard hard white ones he has to wear

>now. On the Photos links, I

>came across a pair of brown sandals that look great and I also saw

>the Dobbs bar, which

>also looks great because it allows the baby to crawl. I wondered if

>anyone knew the name

>of those sandals? Is there a website where I can view different shoe

>options? Does anyone

>know of any tennis shoes that has the bar?

>

>

>Also one more question, Is the baby suppose to wear the shoes/brace

>3 months straight

>23/7 after the tenomy or 3 months straight after the 3 week casting

>after the tenomy?

>

>Thanks for your help!

>-Bonnie

>

>

>

>

>

>

>

>

>

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I wanted to thank everyone for all the helpful feedback. Any time I have a

questions you

guys are always so wonderful- glad this website is here ;)

I think I will stick to the Markells until gets to the walking stage or

has an issue

with them. I just wanted to make sure I had all the options/questions I needed

to ask

ready for Dr. H as I have to travel far to get to him.

Almost done! I guess we have another 2.5 more weeks to go in the bar (23/7)...I

would of

swore Dr. H told me 3 months after the tenomy, maybe it was a mistake.

Anyway, thanks again for all your advice.

-Bonnie

> >Hi! My son has been wearing his shoes for about 3

> >months now,

> >everything seems to be going well. We have our first follow up

> >appt. with Dr. H this week.

> >I wanted to look into different types of shoes for that

> >would be a little more

> >comfortable then the standard hard white ones he has to wear

> >now. On the Photos links, I

> >came across a pair of brown sandals that look great and I also saw

> >the Dobbs bar, which

> >also looks great because it allows the baby to crawl. I wondered if

> >anyone knew the name

> >of those sandals? Is there a website where I can view different shoe

> >options? Does anyone

> >know of any tennis shoes that has the bar?

> >

> >

> >Also one more question, Is the baby suppose to wear the shoes/brace

> >3 months straight

> >23/7 after the tenomy or 3 months straight after the 3 week casting

> >after the tenomy?

> >

> >Thanks for your help!

> >-Bonnie

> >

> >

> >

> >

> >

> >

> >

> >

> >

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