when is it complex???

[Guest guest]

Hi,

Our daughter is being treated by Dr. in MI after walking on club feet in

Russia....she is almost three....her right foot was totally turned under and

still looks a little " off " ........what is considered complex? Also, I had her

practicing walking on them with me holding her hands when she was out of her

brace and it looks like the back heel of the right foot kind of slides out when

she is in that motion....what is that????

Thanks,

wrote:

Kaitlyn,

Now I remember, I think you mentioned Dr. Adamcyzk before. I have to

tell you that I was wrong. : ) There's a new paper out from Dr.

Ponseti on complex clubfoot and they ARE recommending that these feet

be set at a lesser degree! I had perused the paper but had missed

this part:

" Well-molded shoes attached in 40° outer rotation to a foot

abduction bar are indispensable to prevent relapse in short,

stubby complex clubfeet. "

" The foot should not be abducted beyond 40°. "

So Yay! Sounds like Dr. Adamcyzk is up on the latest stuff.

You should talk to him about submitting the case studies required to

get on Dr. Ponseti's qualified physicians list.

I hope you don't feel that we have been too tough on him (or you) in

our scrutiny of his techniques and in questioning things. I'm sure

you've heard this before, but it is very common for a doctor to say he

is using the Ponseti method and then " tweak " things to his liking but

in the process decreasing the success of the method and/or increasing

the chances of relapse. It's great to hear of someone new who is

doing things right!

Wishing you and Kaden continued success! Keep us posted on his progress.

> > >

> > > Hi everyone! I know i havent posted for awhile, but ive just been

> > > reading about everything thats been posted on here, taking in all

> > > information. Kaden is doing really well in his Ponceti braces.

> He is

> > > getting more and more used to getting them put back on after the

> hour

> > > out of them....this will last probly another 2 months, give or

> take

> > > depending on his progress. Right now he is in them 23 hours per

> day,

> > > 1 hour out.

> > > He has begun rolling over from his back to his stomach, which i

> hear

> > > is a pretty hard thing to do, especailly with the braces on...but

> he

> > > has learned to do it!!!

> > >

> > > His braces are adjusted to 60 degrees on the left foot, as this

> foot

> > > is a typical clubfoot, and the right foot, which is an atypical

> > > clubfoot is at 30 degrees. I asked my doctor why such the

> difference,

> > > and he explained that if the atypical foot were adjusted to 60

> > > degrees, it can lead to whats called a banana foot, and we dont

> want

> > > that. So this is why the angles are different on each foot.

> > >

> > > I've learned alot from this group and want to thank you for

> starting

> > > it. We've been told that our next child, when we have one, would

> most

> > > likely have clubfoot too, and now i wont be so overloaded with

> > > confusing information. Thanx!

> > >

> > > Kaitlyn Hood

> > > Ashlan and sburg, Ohio

> > >

> >

>