relapse info from Dr. Morcuende

[Guest guest]

Dr. Morcuende from the U of Iowa sent me this information (I

have edited it for clarity) regarding relapses:

With regard to relapses, I will be presenting some data at POSNA this

week. The rate of relapses decreases with age until about 5-6 years

of age. Overall, without the use of the FAB, it is something like:

<12 months = 80-90 %; <2 years: 60-70%; 3-4 years: 20%, 4-6 years;

1%. However, it is not possible to know in which group a particular

patient is in, so you have to treat everyone the same. We are

working on criteria that will help determine this difference, but we

have not found any reliable indicators at this time.

[Guest guest]

Thank you so much for this post. Now I will have to get use to the

idea of kipping the DBB until age 4.

Dr. Morcuende is working with Dr. Ponseti right?

Thanks.

Idit, mom to Oshri, 8 month. BL ClubFoot, heavy DBB for 16 hours, 2

teeth. http://truly_clubfoot.tripod.com

> Dr. Morcuende from the U of Iowa sent me this information (I

> have edited it for clarity) regarding relapses:

>

> With regard to relapses, I will be presenting some data at POSNA

this

> week. The rate of relapses decreases with age until about 5-6

years

> of age. Overall, without the use of the FAB, it is something

like:

> <12 months = 80-90 %; <2 years: 60-70%; 3-4 years: 20%, 4-6 years;

> 1%. However, it is not possible to know in which group a

particular

> patient is in, so you have to treat everyone the same. We are

> working on criteria that will help determine this difference, but

we

> have not found any reliable indicators at this time.

[Guest guest]

Very interesting! Thanks for sharing! I remember when I started this

journey 2 years ago the Ponseti website said DBB wear for 2-4 years, it is

interesting how that has gone up to even 6 year of age now.

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: relapse info from Dr. Morcuende

>Date: Wed, 28 Apr 2004 19:44:09 -0000

>

>Dr. Morcuende from the U of Iowa sent me this information (I

>have edited it for clarity) regarding relapses:

>

>With regard to relapses, I will be presenting some data at POSNA this

>week. The rate of relapses decreases with age until about 5-6 years

>of age. Overall, without the use of the FAB, it is something like:

><12 months = 80-90 %; <2 years: 60-70%; 3-4 years: 20%, 4-6 years;

>1%. However, it is not possible to know in which group a particular

>patient is in, so you have to treat everyone the same. We are

>working on criteria that will help determine this difference, but we

>have not found any reliable indicators at this time.

>

>

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[Guest guest]

Very interesting! Thanks for sharing! I remember when I started this

journey 2 years ago the Ponseti website said DBB wear for 2-4 years, it is

interesting how that has gone up to even 6 year of age now.

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: relapse info from Dr. Morcuende

>Date: Wed, 28 Apr 2004 19:44:09 -0000

>

>Dr. Morcuende from the U of Iowa sent me this information (I

>have edited it for clarity) regarding relapses:

>

>With regard to relapses, I will be presenting some data at POSNA this

>week. The rate of relapses decreases with age until about 5-6 years

>of age. Overall, without the use of the FAB, it is something like:

><12 months = 80-90 %; <2 years: 60-70%; 3-4 years: 20%, 4-6 years;

>1%. However, it is not possible to know in which group a particular

>patient is in, so you have to treat everyone the same. We are

>working on criteria that will help determine this difference, but we

>have not found any reliable indicators at this time.

>

>

_________________________________________________________________

Express yourself with the new version of MSN Messenger! Download today -

it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/

[Guest guest]

,

might be able to add more to this, but in presenting the

relapse info up to that age range.. I don't think those figures

shuold make you think they're going to be recommending brace wear to

age 6. (I don't know of any cases of that.) Those are just figures

that show the gradually diminishing risk of relapse.

I think what it is they're saying is that there are more kids who

should go to the high end of the 2-4 range, because of the relapses

they have are seeing in 2 to 3 year olds.

> Very interesting! Thanks for sharing! I remember when I started

this

> journey 2 years ago the Ponseti website said DBB wear for 2-4

years, it is

> interesting how that has gone up to even 6 year of age now.

>

>

>

> >From: " & Rich "

> >Reply-To: nosurgery4clubfoot

> >To: nosurgery4clubfoot

> >Subject: relapse info from Dr. Morcuende

> >Date: Wed, 28 Apr 2004 19:44:09 -0000

> >

> >Dr. Morcuende from the U of Iowa sent me this information (I

> >have edited it for clarity) regarding relapses:

> >

> >With regard to relapses, I will be presenting some data at POSNA

this

> >week. The rate of relapses decreases with age until about 5-6 years

> >of age. Overall, without the use of the FAB, it is something like:

> ><12 months = 80-90 %; <2 years: 60-70%; 3-4 years: 20%, 4-6 years;

> >1%. However, it is not possible to know in which group a particular

> >patient is in, so you have to treat everyone the same. We are

> >working on criteria that will help determine this difference, but

we

> >have not found any reliable indicators at this time.

> >

> >

>

> _________________________________________________________________

> Express yourself with the new version of MSN Messenger! Download

today -

> it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/

[Guest guest]

,

might be able to add more to this, but in presenting the

relapse info up to that age range.. I don't think those figures

shuold make you think they're going to be recommending brace wear to

age 6. (I don't know of any cases of that.) Those are just figures

that show the gradually diminishing risk of relapse.

I think what it is they're saying is that there are more kids who

should go to the high end of the 2-4 range, because of the relapses

they have are seeing in 2 to 3 year olds.

> Very interesting! Thanks for sharing! I remember when I started

this

> journey 2 years ago the Ponseti website said DBB wear for 2-4

years, it is

> interesting how that has gone up to even 6 year of age now.

>

>

>

> >From: " & Rich "

> >Reply-To: nosurgery4clubfoot

> >To: nosurgery4clubfoot

> >Subject: relapse info from Dr. Morcuende

> >Date: Wed, 28 Apr 2004 19:44:09 -0000

> >

> >Dr. Morcuende from the U of Iowa sent me this information (I

> >have edited it for clarity) regarding relapses:

> >

> >With regard to relapses, I will be presenting some data at POSNA

this

> >week. The rate of relapses decreases with age until about 5-6 years

> >of age. Overall, without the use of the FAB, it is something like:

> ><12 months = 80-90 %; <2 years: 60-70%; 3-4 years: 20%, 4-6 years;

> >1%. However, it is not possible to know in which group a particular

> >patient is in, so you have to treat everyone the same. We are

> >working on criteria that will help determine this difference, but

we

> >have not found any reliable indicators at this time.

> >

> >

>

> _________________________________________________________________

> Express yourself with the new version of MSN Messenger! Download

today -

> it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/