after anterior tibial transfer

[Guest guest]

hi,im meeta.my son was born with bi lateral club feet.we are under

treatment with dr.ponseti at iowa.however his feet had recovered but he

stopped wearing his brace and had a relapse in his left foot.he has

recently under gone a tibial transfer.i wanted to ask how this transfer

helps bringing the foot back to shape.as of now his foot looks

tilted ,tunred inward.does walking makes it better?

[Guest guest]

Hi Meeta,

My daughter had the tendon transfer done almost 3 years ago, she is now almost

7. The tendon transfer helps by pulling the foot outward. Before the transfer

the tibial tendon pulled the foot inward, especially when walking. This dynamic

stretches out the wrong tendons while causing the others to tighten, that is why

the foot is now turned inward. With the tendon now in its new position it will

create the opposite dynamic to reverse the relapse. However, depending on how

severely relapsed your son's foot was it may always have some residual

deformity. My daughter had the procedure done on both feet. One foot is now

perfect while the other (the left) is about 85%, much better than before. I do

stretches everyday to keep her left foot supple which has helped increase her

dorsiflexion from 5° to almost 10°. I'm not sure how much of this is due to the

stretches and how much to the tendon transfer. Keeping your son active will

certainly help as the tendons will stretch out with every step.

Hope this helps,

Dan

after anterior tibial transfer

hi,im meeta.my son was born with bi lateral club feet.we are under

treatment with dr.ponseti at iowa.however his feet had recovered but he

stopped wearing his brace and had a relapse in his left foot.he has

recently under gone a tibial transfer.i wanted to ask how this transfer

helps bringing the foot back to shape.as of now his foot looks

tilted ,tunred inward.does walking makes it better?

[Guest guest]

Welcome, Meeta,

I don't have any personal experience with the ATTT, but from what

you're describing, it sounds to me like the outcome was not

successful. I don't think that the foot should still tilt and turn

in after the procedure. How long ago did he have it done? Was it

done in Iowa or somewhere else? What is the doctor telling you?

If you search for " ATTT " in the search box on this group's website,

there are lots of old threads regarding this procedure. Although I

must say that I don't recall anyone having these particular issues.

The only one that I remember that had to have additional surgery was

Kassia's son because the tendon pulled away after the first ATTT and

had to be re-attached. But Kassia said that was pretty rare. Could

this have happened to your son also?

Regards,

>

> hi,im meeta.my son was born with bi lateral club feet.we are under

> treatment with dr.ponseti at iowa.however his feet had recovered

but he

> stopped wearing his brace and had a relapse in his left foot.he

has

> recently under gone a tibial transfer.i wanted to ask how this

transfer

> helps bringing the foot back to shape.as of now his foot looks

> tilted ,tunred inward.does walking makes it better?

>

[Guest guest]

Hi Everyone. I have been on list list on and off for quite some

time. I usually come back to it when I have a question.

I am glad that Meeta asked her question because my daughter is having

a similar problem. She is 3 years old. We adopted her in April. She

fought the brace, so her family stopped making her wear it at night,

so she had a relapse. She just started walking again on Thursday, 3

weeks after getting her casts off!!! Dr. Morcuende did her her

surgery on June 1.

I know that it is early in the walking process, but she seems to be

walking on the outsides of her feet. Her feet look curved, kinda like

( and ). Does that make sense? She also says that her feet and legs

hurt. I hope that is because she need to be strengthened from not

being used for so long.

Does this seem normal to those of you who have gone through this?

Thank you for your help and experience.

Barbara

>

> hi,im meeta.my son was born with bi lateral club feet.we are under

> treatment with dr.ponseti at iowa.however his feet had recovered but

he

> stopped wearing his brace and had a relapse in his left foot.he has

> recently under gone a tibial transfer.i wanted to ask how this

transfer

> helps bringing the foot back to shape.as of now his foot looks

> tilted ,tunred inward.does walking makes it better?

>

[Guest guest]

Hi Barbara,

Dr. Morcuende performed the procedure on my daughter Emma in Nov of 2003 when

she had just tuned 4. Emma also had pain in her feet especially on active days.

Dr. Morcuende told us that it was normal and would get better after she

recovered her strength.

As for the shape of your daughter's feet, did Dr. Morcuende see the feet after

the casts came off or were they removed at another hospital? Can she bring her

foot up to neutral? Did she receive any casting prior to the surgery? Emma's

feet were also curved, the left more so than the right. The right foot now looks

perfect while the left still has some curvature. She also wears the outside of

her left shoe slightly more than she should but this is also OK according to Dr.

Ponseti.

It could be a while before you see any real improvement. Emma's left foot turned

in quite a bit even a few months after the surgery, now it points fairly

straight.

If you have concerns do e-mail or call Dr. Morcuende, he is really great about

responding.

HTH,

Dan

Re: after anterior tibial transfer

Hi Everyone. I have been on list list on and off for quite some

time. I usually come back to it when I have a question.

I am glad that Meeta asked her question because my daughter is having

a similar problem. She is 3 years old. We adopted her in April. She

fought the brace, so her family stopped making her wear it at night,

so she had a relapse. She just started walking again on Thursday, 3

weeks after getting her casts off!!! Dr. Morcuende did her her

surgery on June 1.

I know that it is early in the walking process, but she seems to be

walking on the outsides of her feet. Her feet look curved, kinda like

( and ). Does that make sense? She also says that her feet and legs

hurt. I hope that is because she need to be strengthened from not

being used for so long.

Does this seem normal to those of you who have gone through this?

Thank you for your help and experience.

Barbara

>

> hi,im meeta.my son was born with bi lateral club feet.we are under

> treatment with dr.ponseti at iowa.however his feet had recovered but

he

> stopped wearing his brace and had a relapse in his left foot.he has

> recently under gone a tibial transfer.i wanted to ask how this

transfer

> helps bringing the foot back to shape.as of now his foot looks

> tilted ,tunred inward.does walking makes it better?

>

[Guest guest]

hi,it was grt to hear from you.my son had his surgery on 22nd june and his cast

was removed on 24th july just a week back.i also wanted to ask u how long did it

take your daughter to start to walk after the casts were removed post transfer?

dan & lisa wrote: Hi Meeta,

My daughter had the tendon transfer done almost 3 years ago, she is now almost

7. The tendon transfer helps by pulling the foot outward. Before the transfer

the tibial tendon pulled the foot inward, especially when walking. This dynamic

stretches out the wrong tendons while causing the others to tighten, that is why

the foot is now turned inward. With the tendon now in its new position it will

create the opposite dynamic to reverse the relapse. However, depending on how

severely relapsed your son's foot was it may always have some residual

deformity. My daughter had the procedure done on both feet. One foot is now

perfect while the other (the left) is about 85%, much better than before. I do

stretches everyday to keep her left foot supple which has helped increase her

dorsiflexion from 5° to almost 10°. I'm not sure how much of this is due to the

stretches and how much to the tendon transfer. Keeping your son active will

certainly help as the tendons will stretch out with

every step.

Hope this helps,

Dan

after anterior tibial transfer

hi,im meeta.my son was born with bi lateral club feet.we are under

treatment with dr.ponseti at iowa.however his feet had recovered but he

stopped wearing his brace and had a relapse in his left foot.he has

recently under gone a tibial transfer.i wanted to ask how this transfer

helps bringing the foot back to shape.as of now his foot looks

tilted ,tunred inward.does walking makes it better?

[Guest guest]

It took about 10 days for her to start walking well enough to get around without

wobbling. It was 3 weeks before she was quite steady on her feet. It even longer

for her to run. There doesn't seem to be any set time for children to regain

their strength but generally, the younger they are the more quickly they regain

their mobility.

How is your son doing?

Regards,

Dan

after anterior tibial transfer

hi,im meeta.my son was born with bi lateral club feet.we are under

treatment with dr.ponseti at iowa.however his feet had recovered but he

stopped wearing his brace and had a relapse in his left foot.he has

recently under gone a tibial transfer.i wanted to ask how this transfer

helps bringing the foot back to shape.as of now his foot looks

tilted ,tunred inward.does walking makes it better?