Guest guest Posted January 5, 2006 Report Share Posted January 5, 2006 Hi, Sorry, I havent been around since the 29th.....Our trip is 1 week away, and as you can imagine, I am frantically trying to wrap up everything (household-ISOP) before we leave. We will be gone for a few months. I have read most of the posts and will try and answer CAST differences to the best of my knowledge. A Risser cast is done on a Risser frame. A Risser frame is an adult size casting frame that is no longer manufactured. The Cotrel frame is also an adult size casting frame that is no longer manufactured in mass. These casting frames are very different from one another. They are also inappropriate for obtaining the best correction possible on an infant. Dr. Mehta worked closely with Dr.'s Morel and Cotrel over 30 years ago. Miss Mehta brought the concept of early treatment and using the childs growth as a corrective force, to the casting process. Applying plaster on the most size appropriate casting frame is crucial to the early treatment casting process. Docs who do not have a child size frame (AMIL frame), are unable to properly apply a series of jackets to the best of their ability. Yes, you are right.....This is a 3 dimensional problem, that must be corrected 3 dimensionally......Striker, Cotrel, and Risser frames are large and ineffective for casting infants and small children effectively. Its been my observation that a docs with the approprite equipment do not need to include limbs in the jackets they apply, because the smaller sized frame helps acheive optimum correction, and does this on a 3 dimensional plane. There is a formula to the casting process, and the smaller casting frame is a part of this formula. The Abot cast is an old fashioned under-the-arm cast. Ian has an under-the-arm cast, but I wouldnt term it Abot. He definately has a POP jacket.....but with a modification........Lets call it a "" cast...LOL Hope this makes sense. Keep the questions coming.....I will check the group throughout the day, and as much as I can before we leave. Sincerely, HRH **The video "A New Direction" is a must, when trying to wrap your head around all of this. Definitions - Risser casts vs. abbot etc Okay, I am trying to get this all straight in my head. I read in the definitions link that the risser cast is one that goes over the shoulder and that the Abbot is one that goes below the armpits. So, that means Ian is in an Abbot, correct? I know Dr. K said he did not need over the shoulder because of where the apex of the curve is. Now, Dr. D'astous always does over the shoulder (correct?) and this is why he uses the term risser? Also, doing research, I found that there are different types of risser casts. There is the risser-cotrel and then the risser-turnbuckle. Mosunshinebaby, after seeing the pics I think the cast being used at UVA is shown here: http://milwaukee.brace.nu/Plaster.html I can't find a photo on the net of the risser-cotrel cast anywhere. So, does this mean that Risser is just the type of material they use and that it can come in different styles and not necessarily use the Mehta technique? Anyone have some insight? Noelle (12-2-01)Ian (8-15-04) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2006 Report Share Posted January 5, 2006 wow, i learn something new everyday. i had no idea about this. thanks for the clarification, heather! deshea Hi, Sorry, I havent been around since the 29th.....Our trip is 1 week away, and as you can imagine, I am frantically trying to wrap up everything (household-ISOP) before we leave. We will be gone for a few months. I have read most of the posts and will try and answer CAST differences to the best of my knowledge. A Risser cast is done on a Risser frame. A Risser frame is an adult size casting frame that is no longer manufactured. The Cotrel frame is also an adult size casting frame that is no longer manufactured in mass. These casting frames are very different from one another. They are also inappropriate for obtaining the best correction possible on an infant. Dr. Mehta worked closely with Dr.'s Morel and Cotrel over 30 years ago. Miss Mehta brought the concept of early treatment and using the childs growth as a corrective force, to the casting process. Applying plaster on the most size appropriate casting frame is crucial to the early treatment casting process. Docs who do not have a child size frame (AMIL frame), are unable to properly apply a series of jackets to the best of their ability. Yes, you are right.....This is a 3 dimensional problem, that must be corrected 3 dimensionally......Striker, Cotrel, and Risser frames are large and ineffective for casting infants and small children effectively. Its been my observation that a docs with the approprite equipment do not need to include limbs in the jackets they apply, because the smaller sized frame helps acheive optimum correction, and does this on a 3 dimensional plane. There is a formula to the casting process, and the smaller casting frame is a part of this formula. The Abot cast is an old fashioned under-the-arm cast. Ian has an under-the-arm cast, but I wouldnt term it Abot. He definately has a POP jacket.....but with a modification........Lets call it a "" cast...LOL Hope this makes sense. Keep the questions coming.....I will check the group throughout the day, and as much as I can before we leave. Sincerely, HRH **The video "A New Direction" is a must, when trying to wrap your head around all of this. Definitions - Risser casts vs. abbot etc Okay, I am trying to get this all straight in my head. I read in the definitions link that the risser cast is one that goes over the shoulder and that the Abbot is one that goes below the armpits. So, that means Ian is in an Abbot, correct? I know Dr. K said he did not need over the shoulder because of where the apex of the curve is. Now, Dr. D'astous always does over the shoulder (correct?) and this is why he uses the term risser? Also, doing research, I found that there are different types of risser casts. There is the risser-cotrel and then the risser-turnbuckle. Mosunshinebaby, after seeing the pics I think the cast being used at UVA is shown here: http://milwaukee.brace.nu/Plaster.html I can't find a photo on the net of the risser-cotrel cast anywhere. So, does this mean that Risser is just the type of material they use and that it can come in different styles and not necessarily use the Mehta technique? Anyone have some insight? Noelle (12-2-01)Ian (8-15-04) Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.