Re: [Fwd: Re: Re: age of relapse]

[Guest guest]

Do you have a link for the group? or do you know how I can find it?

Thanks,

Kassia

[Guest guest]

Kassia,

Our daughter had the ATTT with Dr. Ponseti & Dr. Morcuende in Iowa. No,

they do not generally advise use of the FAB afterward, but of course discuss

it with Dr. Dietz since it may vary with the severity or type of relapse.

You would have to be careful of the rotation if you did decide to put him

back in. They described the ATTT to us as a minor surgery that was great

for older kids since casts and bar compliance usually do not work at this

age.

Sorry we didn't catch your post earlier, please ask any other questions &

keep us posted.

- & Emma

Emma-- 18-10-99. Montreal, Canada

moderately severe bilateral clubfoot

3 months unsuccessful local casting pending surgery

corrected by Dr. Ponseti with 3 casts & tenotomy

out of FAB too early, just before 2 yrs old (loose ligaments)

relapse, ATTT at 4 years old, doing great.

[Fwd: Re: Re: age of relapse]

Hi all,

I'm just resending this email since I don't know if it went thru the

first time or not...that was a couple of weeks ago and I haven't heard

anything back...not to nag or anything. *grin*

Kassia

mommy to 3/22/01 (Lt clubfoot, will have ATTT surg 4/27/04)

and 11/22/02

--- Re: Re: age of relapse

Date: Mon, 12 Apr 2004 10:24:59 -0500

To: nosurgery4clubfoot

References: c5d74f+ikih (AT) eGroups (DOT) com>

Ok...I'm trying to figure out what the " best " mode of treatment will be

for Jake. According to what Dr Dietz said, when the child relapses at

over 3 yrs of age, it's better to do the ATTT surgery. After reading

's link, Dr Ponseti agrees with this.

My question is, after ATTT surgery, do the kids need the dbb anymore?

According to Dr Ponseti's article in 's link, the child could

still relapse after ATTT surg and need further surgeries. Obviously I'd

like to avoid this possibility...so is it worth it to keep Jake in the

dbb after his surgery? (of course he'd need new larger shoes and a

longer bar...his current set-up is way to small for him now) I'll ask

Dr Dietz at our pre-op appt in a couple weeks, but I was wondering if

anyone here had any opinions.

Thanks,

Kassia

mommy to 3/22/01 (Lt club foot, ATTT surg 4/27/04)

and 11/22/02

[Guest guest]

Hi Kassia,

Emma is doing well, we are updating Drs. P and Morcuende with video on her

progress. Her left foot is still showing some adduction, (her dorsiflexion

has always been pretty good) but they say that we have to wait for her

muscles to get strong and start pulling the foot back. I am a bit worried

that they will want to do further surgery, and bizarre as it sounds I am

almost willing to leave it as is even if they recommend it. Her right looks

great, and the one inch scars are beginning to fade.

Her feet are still " fat " , height-wise and it seems that will not change. It

makes shoe selection a bit difficult.

It's a great thing for you to have your mother there to help out. You will

be needing all your time free to tend to Jake for at least the first 24

hours. I hope everything goes well tomorrow. Please let us know when you

get the chance.

good luck!

-

Re: [Fwd: Re: Re: age of relapse]

Hi , thanks for your post! How is Emma doing? Has she needed any

further treatments since her ATTT surgery? It sounds like your dr said

basically the same thing as Dr Dietz told us (which makes sense since

they work in the same office). Anyhow thanks again for your email,

sorry to keep this so short but we're working on a tight schedule today

(I have to drive out and pick up my mom, she's staying with us for the

week to take care of while Jake has his surgery).

Thanks again,

Kassia

mommy to 3/22/01 (Lt clubfoot, will have ATTT surg 4/27/04)

and 11/22/02

[Guest guest]

Hi Kassia,

Emma is doing well, we are updating Drs. P and Morcuende with video on her

progress. Her left foot is still showing some adduction, (her dorsiflexion

has always been pretty good) but they say that we have to wait for her

muscles to get strong and start pulling the foot back. I am a bit worried

that they will want to do further surgery, and bizarre as it sounds I am

almost willing to leave it as is even if they recommend it. Her right looks

great, and the one inch scars are beginning to fade.

Her feet are still " fat " , height-wise and it seems that will not change. It

makes shoe selection a bit difficult.

It's a great thing for you to have your mother there to help out. You will

be needing all your time free to tend to Jake for at least the first 24

hours. I hope everything goes well tomorrow. Please let us know when you

get the chance.

good luck!

-

Re: [Fwd: Re: Re: age of relapse]

Hi , thanks for your post! How is Emma doing? Has she needed any

further treatments since her ATTT surgery? It sounds like your dr said

basically the same thing as Dr Dietz told us (which makes sense since

they work in the same office). Anyhow thanks again for your email,

sorry to keep this so short but we're working on a tight schedule today

(I have to drive out and pick up my mom, she's staying with us for the

week to take care of while Jake has his surgery).

Thanks again,

Kassia

mommy to 3/22/01 (Lt clubfoot, will have ATTT surg 4/27/04)

and 11/22/02