Re: thanks a lot! and a question about splints

[Guest guest]

,

It depends on what you mean by the word " splint " . Dr. Ponseti calls

the FAB/DBB a Foot abduction brace or foot abduction splint. The

DBB stands for Denis Browne Bar or Denis Browne Splint. There may

be other definitions of splints other than these.

There have been some Ponseti method doctors listed in Sweden for a

few years and it is possible that it is spreading to other doctors

there.

Dr. Bertil Romanus

Orthopaedic Department

Sahlgrenska University Hospital/Ostra

S-416 85 Goteborg Sweden

Tel: 46 31 343 4000

bromanus @ yahoo.com

http://www.vh.org/pediatric/patient/orthopaedics/clubfeet/physicians.

html

> hi all!

>

> i have to say thank you to all of you for doing this list so

intresting,

> thanks!!! i read almost all posts and learn a lot.

>

> and thanks a lot for the answers on my question i posted some

weeks ago

> about hip problems and a strange toe, thanks a lot for all good

answers,

> thanks!!!

>

> and now to my question; i am just curious but i want to know if

you can use

> splints instead of dbb/fab and still follow the ponseti method?

>

> i've heard that my sons doctors use to use splints after the cast

and the

> tentomy before but last summer they start to use the dbb's after

casts and

> tentomy. anyone knows if the splints is used in the ponseti method?

>

> thats all for now.

>

> hugs!

>

> /veronica and wiggo (22/12-03) in sweden

> http://www.wikberg.tk

> bilateral cf, dbb 23/7

[Guest guest]

and now to my question; i am just curious but i want to know if you can use

splints instead of dbb/fab and still follow the ponseti method?

i've heard that my sons doctors use to use splints after the cast and the

tentomy before but last summer they start to use the dbb's after casts and

tentomy. anyone knows if the splints is used in the ponseti method?

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

,

There is indeed a reason splints are not used in the Ponseti method. Splints

(AFOs. KAFO's) simply do not work as well as the DBB/FAB. Dr Ponseti tried them

many years ago and the relapse rate was much higher with AFOs than the FAB. The

reason being that an AFO cannot hold the foot in exterior rotation. While a

KAFO can hold the rotation,it can cause muscle atrophy in the 23/7 period of

brace wear. A KAFO basically holds the leg and foot the same way the last cast

did. As inconvenient as the FAB can be, say for sleeping and car rides, I seem

to recall that that last cast was worse!

Angel