Guest guest Posted August 23, 2004 Report Share Posted August 23, 2004 Dear Friends, My son has a unilateral club foot. He is 7 months old. I started his treatment recently. My Doctor is saying that, he wants to do tenotomy after 2nd cast and then he will continue casting for 4 more casts(Total 6 casts). This is because, he said that the soul is very stiff. SO by above method only he can do proper correction. What is your advice? As far as I know tenotomy is done before last cast and the boy should remain in cats for 3 weeks after which Shoe is given. How do we approach this? If tenotomy is performed after 2nd cast, should we wait for 3 weeks to continue rremaining casts or should we continue with weekly casts? Your advice is needed. Apart from this, the boy is given Local Anaeshtesia using Kitamine. Are there any side effects of this drug? What is the normal procedure of anaesthesia? Please let me know. With Regards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2004 Report Share Posted August 23, 2004 I am sure someone in here will be able to help you out more than I could. My doctor is casting my 6 ½ month old son 3 times before his tenotomy and the last 3 week cast. He will be putting my son to sleep because (as you know) they can really move. I would just want to know why your doctor is doing it under local? Dr. Herzenberg said that they would use local on the younger babies who aren’t as strong and mobile as they are at 6 months and up. Mom to 12/17/98 and Christian 1/30/04 (unilateral clubfoot) . _____ From: bhattarams Sent: Monday, August 23, 2004 2:54 AM To: nosurgery4clubfoot Subject: reg. Tenotomy Dear Friends, My son has a unilateral club foot. He is 7 months old. I started his treatment recently. My Doctor is saying that, he wants to do tenotomy after 2nd cast and then he will continue casting for 4 more casts(Total 6 casts). This is because, he said that the soul is very stiff. SO by above method only he can do proper correction. What is your advice? As far as I know tenotomy is done before last cast and the boy should remain in cats for 3 weeks after which Shoe is given. How do we approach this? If tenotomy is performed after 2nd cast, should we wait for 3 weeks to continue rremaining casts or should we continue with weekly casts? Your advice is needed. Apart from this, the boy is given Local Anaeshtesia using Kitamine. Are there any side effects of this drug? What is the normal procedure of anaesthesia? Please let me know. With Regards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2004 Report Share Posted August 23, 2004 Hi there, It sounds like you are aware of how the Ponseti Method works and that what your doctor is proposing does not follow the method. Your son should have the series of casts done before the tenotomy and the 3 week cast after the tenotomy is so the tendon can heal in the position it will be in SHOES, not more casts. He shouldn't need more manipulation after the surgery. Red flags!! Can you consider checking with another doctor? Louisa 6-27-99 Zoe 2-22-04 Right Unilateral Clubfoot > Dear Friends, > My son has a unilateral club foot. He is 7 months old. I started > his treatment recently. My Doctor is saying that, he wants to do > tenotomy after 2nd cast and then he will continue casting for 4 more > casts(Total 6 casts). This is because, he said that the soul is very > stiff. SO by above method only he can do proper correction. > What is your advice? As far as I know tenotomy is done before last > cast and the boy should remain in cats for 3 weeks after which Shoe > is given. How do we approach this? If tenotomy is performed after 2nd > cast, should we wait for 3 weeks to continue rremaining casts or > should we continue with weekly casts? Your advice is needed. > > Apart from this, the boy is given Local Anaeshtesia using Kitamine. > Are there any side effects of this drug? What is the normal procedure > of anaesthesia? > > Please let me know. > With Regards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2004 Report Share Posted August 23, 2004 I would encourage you to email Dr. Ponseti directly. You can reach him via email at: ignacio-ponseti@ uiowa.edu. Just explain what your doctor is suggesting just as you have done here. He will be able to advise you better whether or not proper correction can or cannot be achieved through these means. Hope this helps, Daiga and Owen, 02/04/03 Unilateral LCF, FAB 14/24 > Dear Friends, > My son has a unilateral club foot. He is 7 months old. I started > his treatment recently. My Doctor is saying that, he wants to do > tenotomy after 2nd cast and then he will continue casting for 4 more > casts(Total 6 casts). This is because, he said that the soul is very > stiff. SO by above method only he can do proper correction. > What is your advice? As far as I know tenotomy is done before last > cast and the boy should remain in cats for 3 weeks after which Shoe > is given. How do we approach this? If tenotomy is performed after 2nd > cast, should we wait for 3 weeks to continue rremaining casts or > should we continue with weekly casts? Your advice is needed. > > Apart from this, the boy is given Local Anaeshtesia using Kitamine. > Are there any side effects of this drug? What is the normal procedure > of anaesthesia? > > Please let me know. > With Regards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2004 Report Share Posted August 24, 2004 I would definitely get a second opinion fast. Where do you live so maybe someone on the board can suggest someone who they have experience with. Pam and (8-12-01) > Dear Friends, > My son has a unilateral club foot. He is 7 months old. I started > his treatment recently. My Doctor is saying that, he wants to do > tenotomy after 2nd cast and then he will continue casting for 4 more > casts(Total 6 casts). This is because, he said that the soul is very > stiff. SO by above method only he can do proper correction. > What is your advice? As far as I know tenotomy is done before last > cast and the boy should remain in cats for 3 weeks after which Shoe > is given. How do we approach this? If tenotomy is performed after 2nd > cast, should we wait for 3 weeks to continue rremaining casts or > should we continue with weekly casts? Your advice is needed. > > Apart from this, the boy is given Local Anaeshtesia using Kitamine. > Are there any side effects of this drug? What is the normal procedure > of anaesthesia? > > Please let me know. > With Regards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2004 Report Share Posted August 25, 2004 Dear All, Thanks very much for all your response. The main reason for Local Anaesthesia was my son developed edema in Lungs in Larynx when he was treated for a surgery. Hence doctor said they will go for Ketamine or Gas Mask. Secondly, I am not clear about the 3 casts and then tenotomy and then 3 more casts. I live in India. I am getting him treated in Gujarat. So, please let me know. rgds. > > Dear Friends, > > My son has a unilateral club foot. He is 7 months old. I started > > his treatment recently. My Doctor is saying that, he wants to do > > tenotomy after 2nd cast and then he will continue casting for 4 > more > > casts(Total 6 casts). This is because, he said that the soul is > very > > stiff. SO by above method only he can do proper correction. > > What is your advice? As far as I know tenotomy is done before last > > cast and the boy should remain in cats for 3 weeks after which Shoe > > is given. How do we approach this? If tenotomy is performed after > 2nd > > cast, should we wait for 3 weeks to continue rremaining casts or > > should we continue with weekly casts? Your advice is needed. > > > > Apart from this, the boy is given Local Anaeshtesia using Kitamine. > > Are there any side effects of this drug? What is the normal > procedure > > of anaesthesia? > > > > Please let me know. > > With Regards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2004 Report Share Posted August 25, 2004 At 04:26 AM 8/25/2004, you wrote: >Dear All, > Thanks very much for all your response. The main reason for Local >Anaesthesia was my son developed edema in Lungs in Larynx when he was >treated for a surgery. Hence doctor said they will go for Ketamine or >Gas Mask. > >Secondly, I am not clear about the 3 casts and then tenotomy and then >3 more casts. I live in India. I am getting him treated in Gujarat. >So, please let me know. Hi, To clear it up, the tenotomy is done last. After the procedure (I hate calling it a surgery - it's misinterpreted too much as the big surgery) baby gets a cast which is left on for 3w. After that they go into the DBB/FAB. Have you looked through the information on Dr. Ponseti's website about the casting process? It is typically 5-7 (sometimes less) plaster casts, each one does a different thing and looks slightly different as far as how the foot is positioned, then the tenotomy and the last cast stays on for 3w while it heals in the over corrected position (this is so the tendon regenerates longer than before). Perhaps the Dr. is just planning on changing the tenotomy cast weekly? I think you should clarify this with the Dr. and ask if there will be further correction in each cast after the tenotomy, or if he's just changing casts to check the incision (which is unnecessary). Check out the website with the pictures of each cast. It shows the difference between them as well as describing the correct process with the tenotomy at the end of the correction. Do you need the address for the website? Hope this clears it up. Kori Mama of Kenton 6/98 Merek 3/00 Darbi 3/03 - Rt. CF - DBB 12hr/day (¨`·.·´¨) `·.¸(¨`·.·´¨) `·.¸.·´ Quote Link to comment Share on other sites More sharing options...
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