Re: Transition from cast to DBB/FAB

[Guest guest]

my daughter, Maddie developed pressure sores from the Markells, and one of the

sores developed a staph infection. We switched to the s and haven't had

a problem since. I was even able to get our insurance to cover it.

- Michele

5/18/02 and Maddie 9/6/05 mitchells 15/7

jennie billhartz wrote:

Hello again everyone.

My son, Evan, was in a DBB/FAB about a month ago and developed a sore bad

enough that he had to go back to casts for several weeks. We met w/ our doc

(Dr. Dobbs) yesterday and he said he thought, although not totally healed, the

sore had healed enough to go ahead and get back into the brace. He asked if I

had a preference and I said I'd like to get the 23/7 brace process started to

avoid any problems with Evan's mobile development when the time comes. Well,

less than 24 hours in the brace, he has developed another red spot just below

the previous sore that looks like it will form into a blister. Plus, we think

the scab from the previous sore is going to fall off at any moment, opening that

sore back up. I'm not sure what to do at this point. Dr. Dobbs nurse said that

if the scab falls off and the sore is open, it will take longer to heal. And,

if he's developing another one and it opens up, that will add even more time in

the casts. So, my question is, should I

keep Evan in the brace and see if the sores get worse such that we have to

re-cast? We might not have to re-cast, after all. Or, should I go ahead and

re-cast now in anticipation that these sores aren't going to heal in the brace?

I just don't want the 23/7 schedule to inhibit Evan rolling over, his tummy time

or even getting up on all fours. Has anyone had this kind of problem with sores

and blisters? It's only one foot and I've tried the moleskin pads. My son is

really small (6 months and just 10 lbs; he was the smaller of twins), and I'm

not sure if this is causing some of the problems.

The other option for us at this point is to ask Dr. Dobbs to fit Evan for the

brace, which I understand works fine for smaller babies and usually

doesn't result in the sores, blisters, etc. I'm not sure I'm ready to go to

another brace just yet, but if bracing is better than continuing with the casts

in keeping my son's development moving forward, then I will ask for that brace.

Jennie

Jennie

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

Ring'em or ping'em. Make PC-to-phone calls as low as 1¢/min with Yahoo!

Messenger with Voice.

[Guest guest]

Yikes - a staph infection?? Evan's initial sore was really bad, but we caught

the new one way before it got bad. He was casted this morning to allow all to

heal. Infection was always a concern of mine, but didn't realize it could get

as bad as staph. Thanks for the heads-up.

We are probably headed to the 's once his sores heal.

Jennie

Michele Frye wrote:

my daughter, Maddie developed pressure sores from the Markells, and one of the

sores developed a staph infection. We switched to the s and haven't had

a problem since. I was even able to get our insurance to cover it.

- Michele

5/18/02 and Maddie 9/6/05 mitchells 15/7

jennie billhartz wrote:

Hello again everyone.

My son, Evan, was in a DBB/FAB about a month ago and developed a sore bad

enough that he had to go back to casts for several weeks. We met w/ our doc

(Dr. Dobbs) yesterday and he said he thought, although not totally healed, the

sore had healed enough to go ahead and get back into the brace. He asked if I

had a preference and I said I'd like to get the 23/7 brace process started to

avoid any problems with Evan's mobile development when the time comes. Well,

less than 24 hours in the brace, he has developed another red spot just below

the previous sore that looks like it will form into a blister. Plus, we think

the scab from the previous sore is going to fall off at any moment, opening that

sore back up. I'm not sure what to do at this point. Dr. Dobbs nurse said that

if the scab falls off and the sore is open, it will take longer to heal. And,

if he's developing another one and it opens up, that will add even more time in

the casts. So, my question is, should I

keep Evan in the brace and see if the sores get worse such that we have to

re-cast? We might not have to re-cast, after all. Or, should I go ahead and

re-cast now in anticipation that these sores aren't going to heal in the brace?

I just don't want the 23/7 schedule to inhibit Evan rolling over, his tummy time

or even getting up on all fours. Has anyone had this kind of problem with sores

and blisters? It's only one foot and I've tried the moleskin pads. My son is

really small (6 months and just 10 lbs; he was the smaller of twins), and I'm

not sure if this is causing some of the problems.

The other option for us at this point is to ask Dr. Dobbs to fit Evan for the

brace, which I understand works fine for smaller babies and usually

doesn't result in the sores, blisters, etc. I'm not sure I'm ready to go to

another brace just yet, but if bracing is better than continuing with the casts

in keeping my son's development moving forward, then I will ask for that brace.

Jennie

Jennie

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

Ring'em or ping'em. Make PC-to-phone calls as low as 1¢/min with Yahoo!

Messenger with Voice.

[Guest guest]

they didn't take impressions today? Do they

realize it takes a week or two to get these shoes

back once the impressions make it to Iowa? If

they didn't take impressions, and plan to do it

*once he heals* what is the plan for the

meantime? Back to the afo brace or

nothing? Casts again? mmmmm... seems a little strange to me.

I would recommend calling them and asking what

they are planning on doing and how... and if

they plan to wait then you should make sure they

take impressions later this week at a cast

change. can make some very, very tiny shoes

but if Evan's feet are that small he would

absolutely need a little time to be able to make them up for him.

Kori

At 12:01 PM 6/1/2006, you wrote:

>Yikes - a staph infection?? Evan's initial sore

>was really bad, but we caught the new one way

>before it got bad. He was casted this morning

>to allow all to heal. Infection was always a

>concern of mine, but didn't realize it could get

>as bad as staph. Thanks for the heads-up.

>

> We are probably headed to the 's once his sores heal.

>

> Jennie

>

>Michele Frye wrote:

> my daughter, Maddie developed pressure sores

> from the Markells, and one of the sores

> developed a staph infection. We switched to

> the s and haven't had a problem

> since. I was even able to get our insurance to cover it.

> - Michele

> 5/18/02 and Maddie 9/6/05 mitchells 15/7

>

>jennie billhartz wrote:

> Hello again everyone.

>

> My son, Evan, was in a DBB/FAB about a month

> ago and developed a sore bad enough that he had

> to go back to casts for several weeks. We met

> w/ our doc (Dr. Dobbs) yesterday and he said he

> thought, although not totally healed, the sore

> had healed enough to go ahead and get back into

> the brace. He asked if I had a preference and

> I said I'd like to get the 23/7 brace process

> started to avoid any problems with Evan's

> mobile development when the time comes. Well,

> less than 24 hours in the brace, he has

> developed another red spot just below the

> previous sore that looks like it will form into

> a blister. Plus, we think the scab from the

> previous sore is going to fall off at any

> moment, opening that sore back up. I'm not

> sure what to do at this point. Dr. Dobbs nurse

> said that if the scab falls off and the sore is

> open, it will take longer to heal. And, if

> he's developing another one and it opens up,

> that will add even more time in the casts. So, my question is, should I

>keep Evan in the brace and see if the sores get

>worse such that we have to re-cast? We might

>not have to re-cast, after all. Or, should I go

>ahead and re-cast now in anticipation that these

>sores aren't going to heal in the brace? I just

>don't want the 23/7 schedule to inhibit Evan

>rolling over, his tummy time or even getting up

>on all fours. Has anyone had this kind of

>problem with sores and blisters? It's only one

>foot and I've tried the moleskin pads. My son

>is really small (6 months and just 10 lbs; he

>was the smaller of twins), and I'm not sure if

>this is causing some of the problems.

>

> The other option for us at this point is to

> ask Dr. Dobbs to fit Evan for the

> brace, which I understand works fine for

> smaller babies and usually doesn't result in

> the sores, blisters, etc. I'm not sure I'm

> ready to go to another brace just yet, but if

> bracing is better than continuing with the

> casts in keeping my son's development moving

> forward, then I will ask for that brace.

>

> Jennie

>

> Jennie

>

>

>---------------------------------

>Ring'em or ping'em. Make PC-to-phone calls as

>low as 1¢/min with Yahoo! Messenger with Voice.

>

>

[Guest guest]

Just wanted to stick my two cents in here - I don't want anyone to get

the wrong idea about Dr. Dobbs brace, there are a large number of his

patients who are using it very successfully, and even the Markell

shoes will really work for a majority of kids in the long run. I

understand ee's point here about the P/Ms, it's relatively rare

that we hear of problems with them and most people who use them really

love them. But I also think it is often a mistaken idea that when

someone has problems with one brace or another that means that brace

is bad or doesn't work. Just my thoughts on the subject. (No offense

ee)

Mom to Jenna (4/7/01) & Sammy (9/25/04, RCF, Dobbs' brace, 12-14hrs/day)

> > > >Hello again everyone.

> > > >

> > > > My son, Evan, was in a DBB/FAB about a month

> > > > ago and developed a sore bad enough that he had

> > > > to go back to casts for several weeks. We met

> > > > w/ our doc (Dr. Dobbs) yesterday and he said he

> > > > thought, although not totally healed, the sore

> > > > had healed enough to go ahead and get back into

> > > > the brace. He asked if I had a preference and

> > > > I said I'd like to get the 23/7 brace process

> > > > started to avoid any problems with Evan's

> > > > mobile development when the time comes. Well,

> > > > less than 24 hours in the brace, he has

> > > > developed another red spot just below the

> > > > previous sore that looks like it will form into

> > > > a blister. Plus, we think the scab from the

> > > > previous sore is going to fall off at any

> > > > moment, opening that sore back up. I'm not

> > > > sure what to do at this point. Dr. Dobbs nurse

> > > > said that if the scab falls off and the sore is

> > > > open, it will take longer to heal. And, if

> > > > he's developing another one and it opens up,

> > > > that will add even more time in the casts. So, my question is,

> > should I

> > > > keep Evan in the brace and see if the sores

> > > > get worse such that we have to re-cast? We

> > > > might not have to re-cast, after all. Or,

> > > > should I go ahead and re-cast now in

> > > > anticipation that these sores aren't going to

> > > > heal in the brace? I just don't want the 23/7

> > > > schedule to inhibit Evan rolling over, his

> > > > tummy time or even getting up on all

> > > > fours. Has anyone had this kind of problem

> > > > with sores and blisters? It's only one foot

> > > > and I've tried the moleskin pads. My son is

> > > > really small (6 months and just 10 lbs; he was

> > > > the smaller of twins), and I'm not sure if this

> > > > is causing some of the problems.

> > > >

> > > > The other option for us at this point is to

> > > > ask Dr. Dobbs to fit Evan for the

> > > > brace, which I understand works fine for

> > > > smaller babies and usually doesn't result in

> > > > the sores, blisters, etc. I'm not sure I'm

> > > > ready to go to another brace just yet, but if

> > > > bracing is better than continuing with the

> > > > casts in keeping my son's development moving

> > > > forward, then I will ask for that brace.

> > > >

> > > > Jennie

> > > >

> > > > Jennie

> > > >

> > > >

> > > >---------------------------------

> > > >Ring'em or ping'em. Make PC-to-phone calls as

> > > >low as 1¢/min with Yahoo! Messenger with Voice.

> > > >

> > > >

[Guest guest]

Jennie,

One other thing to look at in this situation besides the bar weight is

the bar width. If the bar is too narrow this is often a big culprit

in night time waking.

> > > >Hello again everyone.

> > > >

> > > > My son, Evan, was in a DBB/FAB about a month

> > > > ago and developed a sore bad enough that he had

> > > > to go back to casts for several weeks. We met

> > > > w/ our doc (Dr. Dobbs) yesterday and he said he

> > > > thought, although not totally healed, the sore

> > > > had healed enough to go ahead and get back into

> > > > the brace. He asked if I had a preference and

> > > > I said I'd like to get the 23/7 brace process

> > > > started to avoid any problems with Evan's

> > > > mobile development when the time comes. Well,

> > > > less than 24 hours in the brace, he has

> > > > developed another red spot just below the

> > > > previous sore that looks like it will form into

> > > > a blister. Plus, we think the scab from the

> > > > previous sore is going to fall off at any

> > > > moment, opening that sore back up. I'm not

> > > > sure what to do at this point. Dr. Dobbs nurse

> > > > said that if the scab falls off and the sore is

> > > > open, it will take longer to heal. And, if

> > > > he's developing another one and it opens up,

> > > > that will add even more time in the casts. So, my question is,

> >should I

> > > > keep Evan in the brace and see if the sores

> > > > get worse such that we have to re-cast? We

> > > > might not have to re-cast, after all. Or,

> > > > should I go ahead and re-cast now in

> > > > anticipation that these sores aren't going to

> > > > heal in the brace? I just don't want the 23/7

> > > > schedule to inhibit Evan rolling over, his

> > > > tummy time or even getting up on all

> > > > fours. Has anyone had this kind of problem

> > > > with sores and blisters? It's only one foot

> > > > and I've tried the moleskin pads. My son is

> > > > really small (6 months and just 10 lbs; he was

> > > > the smaller of twins), and I'm not sure if this

> > > > is causing some of the problems.

> > > >

> > > > The other option for us at this point is to

> > > > ask Dr. Dobbs to fit Evan for the

> > > > brace, which I understand works fine for

> > > > smaller babies and usually doesn't result in

> > > > the sores, blisters, etc. I'm not sure I'm

> > > > ready to go to another brace just yet, but if

> > > > bracing is better than continuing with the

> > > > casts in keeping my son's development moving

> > > > forward, then I will ask for that brace.

> > > >

> > > > Jennie

> > > >

> > > > Jennie

> > > >

> > > >

> > > >---------------------------------

> > > >Ring'em or ping'em. Make PC-to-phone calls as

> > > >low as 1¢/min with Yahoo! Messenger with Voice.

> > > >

> > > >

[Guest guest]

I would hate for people to get the idea the Markell's always cause problems.

We have used them for over a year with no problem at all. At his last

checkup the doctor was pleased with how his feet looked and at the abduction

he had in his feet, so just wanted to say not everyone has problems with

them.

and bcf dbb 14/7

Message: 14

Date: Thu Jun 1, 2006 2:22 pm (PDT)

From: " " jagrindon@...

Subject: Re: Transition from cast to DBB/FAB

Just wanted to stick my two cents in here - I don't want anyone to get

the wrong idea about Dr. Dobbs brace, there are a large number of his

patients who are using it very successfully, and even the Markell

shoes will really work for a majority of kids in the long run. I

understand ee's point here about the P/Ms, it's relatively rare

that we hear of problems with them and most people who use them really

love them. But I also think it is often a mistaken idea that when

someone has problems with one brace or another that means that brace

is bad or doesn't work. Just my thoughts on the subject. (No offense

ee)

Mom to Jenna (4/7/01) & Sammy (9/25/04, RCF, Dobbs' brace, 12-14hrs/day)

> > > >Hello again everyone.

> > > >

> > > > My son, Evan, was in a DBB/FAB about a month

> > > > ago and developed a sore bad enough that he had

> > > > to go back to casts for several weeks. We met

> > > > w/ our doc (Dr. Dobbs) yesterday and he said he

> > > > thought, although not totally healed, the sore

> > > > had healed enough to go ahead and get back into

> > > > the brace. He asked if I had a preference and

> > > > I said I'd like to get the 23/7 brace process

> > > > started to avoid any problems with Evan's

> > > > mobile development when the time comes. Well,

> > > > less than 24 hours in the brace, he has

> > > > developed another red spot just below the

> > > > previous sore that looks like it will form into

> > > > a blister. Plus, we think the scab from the

> > > > previous sore is going to fall off at any

> > > > moment, opening that sore back up. I'm not

> > > > sure what to do at this point. Dr. Dobbs nurse

> > > > said that if the scab falls off and the sore is

> > > > open, it will take longer to heal. And, if

> > > > he's developing another one and it opens up,

> > > > that will add even more time in the casts. So, my question is,

> > should I

> > > > keep Evan in the brace and see if the sores

> > > > get worse such that we have to re-cast? We

> > > > might not have to re-cast, after all. Or,

> > > > should I go ahead and re-cast now in

> > > > anticipation that these sores aren't going to

> > > > heal in the brace? I just don't want the 23/7

> > > > schedule to inhibit Evan rolling over, his

> > > > tummy time or even getting up on all

> > > > fours. Has anyone had this kind of problem

> > > > with sores and blisters? It's only one foot

> > > > and I've tried the moleskin pads. My son is

> > > > really small (6 months and just 10 lbs; he was

> > > > the smaller of twins), and I'm not sure if this

> > > > is causing some of the problems.

> > > >

> > > > The other option for us at this point is to

> > > > ask Dr. Dobbs to fit Evan for the

> > > > brace, which I understand works fine for

> > > > smaller babies and usually doesn't result in

> > > > the sores, blisters, etc. I'm not sure I'm

> > > > ready to go to another brace just yet, but if

> > > > bracing is better than continuing with the

> > > > casts in keeping my son's development moving

> > > > forward, then I will ask for that brace.

> > > >

> > > > Jennie

> > > >

> > > > Jennie

> > > >

> > > >

> > > >---------------------------------

> > > >Ring'em or ping'em. Make PC-to-phone calls as

> > > >low as 1¢/min with Yahoo! Messenger with Voice.

> > > >

> > > >

[Guest guest]

Ah ha. Thanks. I remember folks saying that the bar width should be about

shoulder width? I'll check that out.

wrote: Jennie,

One other thing to look at in this situation besides the bar weight is

the bar width. If the bar is too narrow this is often a big culprit

in night time waking.

> > > >Hello again everyone.

> > > >

> > > > My son, Evan, was in a DBB/FAB about a month

> > > > ago and developed a sore bad enough that he had

> > > > to go back to casts for several weeks. We met

> > > > w/ our doc (Dr. Dobbs) yesterday and he said he

> > > > thought, although not totally healed, the sore

> > > > had healed enough to go ahead and get back into

> > > > the brace. He asked if I had a preference and

> > > > I said I'd like to get the 23/7 brace process

> > > > started to avoid any problems with Evan's

> > > > mobile development when the time comes. Well,

> > > > less than 24 hours in the brace, he has

> > > > developed another red spot just below the

> > > > previous sore that looks like it will form into

> > > > a blister. Plus, we think the scab from the

> > > > previous sore is going to fall off at any

> > > > moment, opening that sore back up. I'm not

> > > > sure what to do at this point. Dr. Dobbs nurse

> > > > said that if the scab falls off and the sore is

> > > > open, it will take longer to heal. And, if

> > > > he's developing another one and it opens up,

> > > > that will add even more time in the casts. So, my question is,

> >should I

> > > > keep Evan in the brace and see if the sores

> > > > get worse such that we have to re-cast? We

> > > > might not have to re-cast, after all. Or,

> > > > should I go ahead and re-cast now in

> > > > anticipation that these sores aren't going to

> > > > heal in the brace? I just don't want the 23/7

> > > > schedule to inhibit Evan rolling over, his

> > > > tummy time or even getting up on all

> > > > fours. Has anyone had this kind of problem

> > > > with sores and blisters? It's only one foot

> > > > and I've tried the moleskin pads. My son is

> > > > really small (6 months and just 10 lbs; he was

> > > > the smaller of twins), and I'm not sure if this

> > > > is causing some of the problems.

> > > >

> > > > The other option for us at this point is to

> > > > ask Dr. Dobbs to fit Evan for the

> > > > brace, which I understand works fine for

> > > > smaller babies and usually doesn't result in

> > > > the sores, blisters, etc. I'm not sure I'm

> > > > ready to go to another brace just yet, but if

> > > > bracing is better than continuing with the

> > > > casts in keeping my son's development moving

> > > > forward, then I will ask for that brace.

> > > >

> > > > Jennie

> > > >

> > > > Jennie

> > > >

> > > >

> > > >---------------------------------

> > > >Ring'em or ping'em. Make PC-to-phone calls as

> > > >low as 1¢/min with Yahoo! Messenger with Voice.

> > > >

> > > >

[Guest guest]

See, that's what is supposed to happen. But what

about those orthotists and docs that know about

it, yet refuse to try it? Or worse, go on and on

about how expensive they are and maintain a

grudge about how they're *not custom molded, yet

we have to make impressions*? Don't EVEN get me

started on Shriners and their inability to see

past their noses and get the kids that need these

a freakin FAB that works. Apparently many docs

and orthotists would rather do surgery on AFO'd

feet to try with this new FAB that costs just a

bit more than the Markell FAB and hundreds of

dollars less than one AFO (outside of Shriners

Hospitals where they make AFO's for pennies).

And then there's the idea that they have

Ponseti's name on them. That in itself seems to

piss people off for some reason. Yet DBB is a

term/name used everywhere in connection with the

Ponseti Method. As IF... Denis Browne ever did

one good thing for clubfoot beyond making a brace

that could be modified to maintain Ponseti

corrected feet. Denis Browne did horrible things

to clubfeet (Naomi, care to post again your

excerpts from Dennis Browne's clubfoot management

protocols??) yet nearly every Orthotist calls the

Denis Browne *like* Bar a DBB. This brace, with

the Markell shoes is not even a Denis Browne Bar

anymore. Technically it is a *modified Denis

Browne Bar*. Denis Browne should not be a part

of clubfoot treatment in any way shape or form

yet his name is touted constantly as if he was

some miracle worker for clubfoot.

There are many other procedures, methods, and

medical tools named after Denis Browne. One is

actually a thoracotomy technique named after

him. Poor Denis Browne... He wasn't happy with

the recognition he did get with the boots and

bar, and other various tools and

techniques. Compare this attitude to Dr. Ponseti

who could care less about his name and only about

the children. I bet he never even asked for his

name to be on the shoes made for him.

At least Dr. Ponseti gets along with PEOPLE...

I found these interesting:

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve & db=PubMed & list_uids=3\

095883 & dopt=Abstract1:

Prog Pediatr Surg. 1986;20:60-8.

<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Display & dopt=pubmed\

_pubmed & from_uid=3095883 & tool=ExternalSearch>Related

Articles, Links

Denis Browne: colleague (1892-1967).

<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed & cmd=Search & itool=PubMed\

_Abstract & term=%22Crooks+J%22%5BAuthor%5D>Crooks

J.

The purpose of this character study is not to

assess the achievements of this great paediatric

surgeon but to describe this extraordinary,

adventurous, rebellious and difficult man, his

intelligence, intellectual curiosity and intense

interest in technical problems, as well as his

bluntness of manner which was confusing and

irritating to some of his colleagues. Denis

Browne is described as a shy and sensitive

nature, which made it difficult for him to

establish ordinary human relationships, but also

as a strangely aloof colleague with a flair for

clothes, remarkable skills at riding, shooting,

tennis, billiard and golf, and much admired by

his juniors. Denis Browne is also described as a

demon for work, a man who had the courage of his

convictions and acted upon them. Those who

understood him admired him to the point of

idolatry but he was also considered as the

supreme egotist not giving an inch in discussions

and overriding many of his colleagues, making

enemies of them as he went and then deeming

himself greatly wronged by lack of recognition.

With a more modest approach he might have had an

easy life with his genius acclaimed by everyone,

rather than a life of struggle against ignorance

and prejudice which, all at the same, he greatly enjoyed.

Publication Types:

Biography

Historical Article

Personal Name as Subject:

Browne D

PMID: 3095883 [PubMed - indexed for MEDLINE]

********************************************************************************\

*********************

http://www.blackwell-synergy.com/doi/abs/10.1046/j.1440-1622.2000.01963.x;jsessi\

onid=eBR3m3OLnso8j6Q_vU?cookieSet=1 & journalCode=ans

Australian and New Zealand Journal of Surgery

Volume 70 Page 770 - November 2000

doi:10.1046/j.1440-1622.2000.01963.x

Volume 70 Issue 11

Denis Browne: Maverick or Master Surgeon?

E. Durham

The current generation of surgeons may remember

Denis Browne only as an inventor of surgical

instruments which few people use, an innovator of

procedures condemned as inadequate, and a

personality bristling with controversy: a

maverick indeed. And yet this assessment belies

his influence as the founder of modern paediatric

surgery in the development of British surgery.

Further, his innovative operations in a range of

paediatric lesions were revolutionary in the

context of the time. Browne was born in 1892 and

educated in Australia, although his whole

surgical career was in England. He had a

remarkable family background; unique Australian

experiences in childhood, when he commenced to

display independence and individuality of spirit,

through University, where he gained 'Blues' in

tennis and shooting, to war, where he served in

Gallipoli and France; and to controversies that

surrounded him in his battle to establish

paediatric surgery as a legitimate surgical

discipline. He certainly had a prickly

personality and a particular venom reserved for

orthopaedic surgeons and anatomists, but his

achievements may have been possible only by one

possessed of such a strong and towering character.

Affiliations

Royal Children's Hospital, Melbourne, , Australia

Correspondence

MrE.Durham, 3/42 Severn Street, North

Balwyn, Vic. 3104, Australia. Email:

durhams@...

To cite this article

, E. Durham (2000)

Denis Browne: Maverick or Master Surgeon?.

Australian and New Zealand Journal of Surgery 70 (11), 770-777.

doi: 10.1046/

j.1440-1622.2000.01963.x

At 10:22 AM 6/2/2006, you wrote:

>Kori,

>

>After seeing 's s, our ortho (and

>the other doc in his practice who is using the

>Ponseti method and treating club feet) switched

>all of their patients over to the

>s...the new babies anyway. I was glad

>to hear it. He had never seen them before

>'s. So many ortho docs and orthotists don't even know they exist.

>

>The Markell's didn't work at all for

>because her big toes curve inward so I was

>pleased to find the 's. Although her

>feet are not the " typical " atypical club feet,

>she did have that difference which caused a

>pressure sore in less than 24 hours in the

>Markells. No problems in the s. It is

>good that there are different options for people, though.

>

>Carol

> Re: Transition from cast to DBB/FAB

> >

> >

> >Just wanted to stick my two cents in here - I don't want anyone to get

> >the wrong idea about Dr. Dobbs brace, there are a large number of his

> >patients who are using it very successfully, and even the Markell

> >shoes will really work for a majority of kids in the long run. I

> >understand ee's point here about the P/Ms, it's relatively rare

> >that we hear of problems with them and most people who use them really

> >love them. But I also think it is often a mistaken idea that when

> >someone has problems with one brace or another that means that brace

> >is bad or doesn't work. Just my thoughts on the subject. (No offense

> >ee)

> >

> >

> >Mom to Jenna (4/7/01) & Sammy (9/25/04, RCF, Dobbs' brace, 12-14hrs/day)

> >

> >

> >

> > > > > >Hello again everyone.

> > > > > >

> > > > > > My son, Evan, was in a DBB/FAB about a month

> > > > > > ago and developed a sore bad enough that he had

> > > > > > to go back to casts for several weeks. We met

> > > > > > w/ our doc (Dr. Dobbs) yesterday and he said he

> > > > > > thought, although not totally healed, the sore

> > > > > > had healed enough to go ahead and get back into

> > > > > > the brace. He asked if I had a preference and

> > > > > > I said I'd like to get the 23/7 brace process

> > > > > > started to avoid any problems with Evan's

> > > > > > mobile development when the time comes. Well,

> > > > > > less than 24 hours in the brace, he has

> > > > > > developed another red spot just below the

> > > > > > previous sore that looks like it will form into

> > > > > > a blister. Plus, we think the scab from the

> > > > > > previous sore is going to fall off at any

> > > > > > moment, opening that sore back up. I'm not

> > > > > > sure what to do at this point. Dr. Dobbs nurse

> > > > > > said that if the scab falls off and the sore is

> > > > > > open, it will take longer to heal. And, if

> > > > > > he's developing another one and it opens up,

> > > > > > that will add even more time in the casts. So, my question is,

> > > > should I

> > > > > > keep Evan in the brace and see if the sores

> > > > > > get worse such that we have to re-cast? We

> > > > > > might not have to re-cast, after all. Or,

> > > > > > should I go ahead and re-cast now in

> > > > > > anticipation that these sores aren't going to

> > > > > > heal in the brace? I just don't want the 23/7

> > > > > > schedule to inhibit Evan rolling over, his

> > > > > > tummy time or even getting up on all

> > > > > > fours. Has anyone had this kind of problem

> > > > > > with sores and blisters? It's only one foot

> > > > > > and I've tried the moleskin pads. My son is

> > > > > > really small (6 months and just 10 lbs; he was

> > > > > > the smaller of twins), and I'm not sure if this

> > > > > > is causing some of the problems.

> > > > > >

> > > > > > The other option for us at this point is to

> > > > > > ask Dr. Dobbs to fit Evan for the

> > > > > > brace, which I understand works fine for

> > > > > > smaller babies and usually doesn't result in

> > > > > > the sores, blisters, etc. I'm not sure I'm

> > > > > > ready to go to another brace just yet, but if

> > > > > > bracing is better than continuing with the

> > > > > > casts in keeping my son's development moving

> > > > > > forward, then I will ask for that brace.

> > > > > >

> > > > > > Jennie

> > > > > >

> > > > > > Jennie

> > > > > >

> > > > > >

> > > > > >---------------------------------

> > > > > >Ring'em or ping'em. Make PC-to-phone calls as

> > > > > >low as 1¢/min with Yahoo! Messenger with Voice.

> > > > > >

> > > > > >

[Guest guest]

Very True , the set up of the FAB and fit of the shoes is ultra

important and we have all seen cases where the parents are at their

wits end because the orthotist is telling them the bar is too wide

and we're telling them the bar is too short or some similar problem.

Also, I have found it very interesting that in the developing nations

where they are using the Steenbeck brace, they don't seem to be

having a problem with sores, blisters or lack of compliance. When I

met Michiel Steenbeck last year in Iowa he was really surprised that

there is such a problem with these things in the US. Maybe we should

all switch to the Steenbeck brace!

> > > > > >Hello again everyone.

> > > > > >

> > > > > > My son, Evan, was in a DBB/FAB about a month

> > > > > > ago and developed a sore bad enough that he had

> > > > > > to go back to casts for several weeks. We met

> > > > > > w/ our doc (Dr. Dobbs) yesterday and he said he

> > > > > > thought, although not totally healed, the sore

> > > > > > had healed enough to go ahead and get back into

> > > > > > the brace. He asked if I had a preference and

> > > > > > I said I'd like to get the 23/7 brace process

> > > > > > started to avoid any problems with Evan's

> > > > > > mobile development when the time comes. Well,

> > > > > > less than 24 hours in the brace, he has

> > > > > > developed another red spot just below the

> > > > > > previous sore that looks like it will form into

> > > > > > a blister. Plus, we think the scab from the

> > > > > > previous sore is going to fall off at any

> > > > > > moment, opening that sore back up. I'm not

> > > > > > sure what to do at this point. Dr. Dobbs nurse

> > > > > > said that if the scab falls off and the sore is

> > > > > > open, it will take longer to heal. And, if

> > > > > > he's developing another one and it opens up,

> > > > > > that will add even more time in the casts. So, my

question is,

> > > > should I

> > > > > > keep Evan in the brace and see if the sores

> > > > > > get worse such that we have to re-cast? We

> > > > > > might not have to re-cast, after all. Or,

> > > > > > should I go ahead and re-cast now in

> > > > > > anticipation that these sores aren't going to

> > > > > > heal in the brace? I just don't want the 23/7

> > > > > > schedule to inhibit Evan rolling over, his

> > > > > > tummy time or even getting up on all

> > > > > > fours. Has anyone had this kind of problem

> > > > > > with sores and blisters? It's only one foot

> > > > > > and I've tried the moleskin pads. My son is

> > > > > > really small (6 months and just 10 lbs; he was

> > > > > > the smaller of twins), and I'm not sure if this

> > > > > > is causing some of the problems.

> > > > > >

> > > > > > The other option for us at this point is to

> > > > > > ask Dr. Dobbs to fit Evan for the

> > > > > > brace, which I understand works fine for

> > > > > > smaller babies and usually doesn't result in

> > > > > > the sores, blisters, etc. I'm not sure I'm

> > > > > > ready to go to another brace just yet, but if

> > > > > > bracing is better than continuing with the

> > > > > > casts in keeping my son's development moving

> > > > > > forward, then I will ask for that brace.

> > > > > >

> > > > > > Jennie

> > > > > >

> > > > > > Jennie

> > > > > >

> > > > > >

> > > > > >---------------------------------

> > > > > >Ring'em or ping'em. Make PC-to-phone calls as

> > > > > >low as 1¢/min with Yahoo! Messenger with Voice.

> > > > > >

> > > > > >

[Guest guest]

Kori,

Someone posted some positive comments about the Semeda brace either

last week, or maybe the week before - she said that they are very

soft leather and that the newest model, IIRC, has a buckle on the

middle strap instead of velcro. Maybe check the archives, if not

here, it was on the CF group.

> > > > > > >Hello again everyone.

> > > > > > >

> > > > > > > My son, Evan, was in a DBB/FAB about a month

> > > > > > > ago and developed a sore bad enough that he had

> > > > > > > to go back to casts for several weeks. We met

> > > > > > > w/ our doc (Dr. Dobbs) yesterday and he said he

> > > > > > > thought, although not totally healed, the sore

> > > > > > > had healed enough to go ahead and get back into

> > > > > > > the brace. He asked if I had a preference and

> > > > > > > I said I'd like to get the 23/7 brace process

> > > > > > > started to avoid any problems with Evan's

> > > > > > > mobile development when the time comes. Well,

> > > > > > > less than 24 hours in the brace, he has

> > > > > > > developed another red spot just below the

> > > > > > > previous sore that looks like it will form into

> > > > > > > a blister. Plus, we think the scab from the

> > > > > > > previous sore is going to fall off at any

> > > > > > > moment, opening that sore back up. I'm not

> > > > > > > sure what to do at this point. Dr. Dobbs nurse

> > > > > > > said that if the scab falls off and the sore is

> > > > > > > open, it will take longer to heal. And, if

> > > > > > > he's developing another one and it opens up,

> > > > > > > that will add even more time in the casts. So, my

question is,

> > > > > should I

> > > > > > > keep Evan in the brace and see if the sores

> > > > > > > get worse such that we have to re-cast? We

> > > > > > > might not have to re-cast, after all. Or,

> > > > > > > should I go ahead and re-cast now in

> > > > > > > anticipation that these sores aren't going to

> > > > > > > heal in the brace? I just don't want the 23/7

> > > > > > > schedule to inhibit Evan rolling over, his

> > > > > > > tummy time or even getting up on all

> > > > > > > fours. Has anyone had this kind of problem

> > > > > > > with sores and blisters? It's only one foot

> > > > > > > and I've tried the moleskin pads. My son is

> > > > > > > really small (6 months and just 10 lbs; he was

> > > > > > > the smaller of twins), and I'm not sure if this

> > > > > > > is causing some of the problems.

> > > > > > >

> > > > > > > The other option for us at this point is to

> > > > > > > ask Dr. Dobbs to fit Evan for the

> > > > > > > brace, which I understand works fine for

> > > > > > > smaller babies and usually doesn't result in

> > > > > > > the sores, blisters, etc. I'm not sure I'm

> > > > > > > ready to go to another brace just yet, but if

> > > > > > > bracing is better than continuing with the

> > > > > > > casts in keeping my son's development moving

> > > > > > > forward, then I will ask for that brace.

> > > > > > >

> > > > > > > Jennie

> > > > > > >

> > > > > > > Jennie

> > > > > > >

> > > > > > >

> > > > > > >---------------------------------

> > > > > > >Ring'em or ping'em. Make PC-to-phone calls as

> > > > > > >low as 1¢/min with Yahoo! Messenger with Voice.

> > > > > > >

> > > > > > >

[Guest guest]

Hi ,

I didn't post anything about it but I did ask about

the Semeda Alfa-Flex brace on the German clubfoot

group last week or so and someone replied saying that

the middle strap has indeed a buckle on it, and that

the shoes were made of very soft leather. They seemed

happy with the brace and didn't have any problems with

it.

HTH,

with (3.5y)

and Alister (3.5y, rigth CF, Ponseti method, UK)

--- wrote:

> Kori,

> Someone posted some positive comments about the

> Semeda brace either

> last week, or maybe the week before - she said that

> they are very

> soft leather and that the newest model, IIRC, has a

> buckle on the

> middle strap instead of velcro. Maybe check the

> archives, if not

> here, it was on the CF group.

>

>

>

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