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Hello,

I took Keira for a check-up today with her family doctor. My doctor's nurse

saw her shoes and bar and asked if she had been born with a clubfoot. She

said that she was born with a clubfoot and so was her son, who is now 16.

She said that it has never bothered her and she's always been very active.

Her son is also very athletic and involved in sports and it doesn't bother

him at all except that they used to have to buy two different shoe sizes.

She also told me how the difference in her calf size is barely discernable.

I found it very reassuring. I wanted to post about it because I know many

people are curious to hear about older people and older kids/teens born with

clubfeet are doing.

Just to switch topics, I have a question to throw out there. Both Dr.

Morcuende and Dr. Ponseti said, based on Keira's pics, that we should reduce

the degree of abduction to 50 degrees (as per Morcuende) and " no more than

30 degrees " (as per Ponseti). I saw the post earlier about how it is

important to have the foot over corrected to seventy degrees to maintain

range of motion and also to allow for some natural regression of foot back

to neutral position.

I know Dr. Ponseti knows what he is talking about however I wondered about

the impact of decreasing her degree of abduction as it relates to those two

issues.

I have e-mailed him about this but haven't heard back yet.

We'll probably just wait until we are in the s to change the

degrees. The impression kit was sent over a week ago so hopefully should get

here soon as I'm anxious to get Keira into the s.

One last question for the users..do you have to take it to the

ortho/dr to have them set the degree of rotation or can you set everything

up on your own when you get the brace?

Thanks and have a nice weekend!

Halley

Keira 04/12/05 Markell FAB 23 hrs/day

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