Re: DBB wear after tenotomy?

May 24, 2004

Hi ,

I'm a bit confused... I thought 85% of clubfoot children had the

tenotomy BEFORE going into the DBB?

I can't remember the specifics of your story. Did they think he

didn't need a tenotomy and then change their minds?

I'm sorry I can't help answer your question definitively. I was just

curious why the DBB FIRST and then a tenotomy...

Thanks!

Joanne

> Hi all,

>

> just had his tenotomy last Monday. Before that, we'd been in

the DBB

> since January, so obviously we had hit the three-month mark. When

does

> wear decrease after the tenotomy? Do you start all over again from

there and

> go another three months? By then he should probably be

crawling/starting to

> pull up. Just curious.

>

> 11.23.03

> DBB 1.14.04

> Tenotomy 5.17.04

May 24, 2004

Hi ,

I'm a bit confused... I thought 85% of clubfoot children had the

tenotomy BEFORE going into the DBB?

I can't remember the specifics of your story. Did they think he

didn't need a tenotomy and then change their minds?

I'm sorry I can't help answer your question definitively. I was just

curious why the DBB FIRST and then a tenotomy...

Thanks!

Joanne

> Hi all,

>

> just had his tenotomy last Monday. Before that, we'd been in

the DBB

> since January, so obviously we had hit the three-month mark. When

does

> wear decrease after the tenotomy? Do you start all over again from

there and

> go another three months? By then he should probably be

crawling/starting to

> pull up. Just curious.

>

> 11.23.03

> DBB 1.14.04

> Tenotomy 5.17.04

May 24, 2004

Hi ,

I'm a bit confused... I thought 85% of clubfoot children had the

tenotomy BEFORE going into the DBB?

I can't remember the specifics of your story. Did they think he

didn't need a tenotomy and then change their minds?

I'm sorry I can't help answer your question definitively. I was just

curious why the DBB FIRST and then a tenotomy...

Thanks!

Joanne

> Hi all,

>

> just had his tenotomy last Monday. Before that, we'd been in

the DBB

> since January, so obviously we had hit the three-month mark. When

does

> wear decrease after the tenotomy? Do you start all over again from

there and

> go another three months? By then he should probably be

crawling/starting to

> pull up. Just curious.

>

> 11.23.03

> DBB 1.14.04

> Tenotomy 5.17.04

May 25, 2004

We will also be going back in to the bar soon following the

tenotomy. did not tolerate the bar well and kept getting

out of the shoes so we gave in and went to see Dr Ponseti (instead of

our regular doc) and he decided she needed the Tenotomy. We were in

the Markell shoes and will be going into the shoes. Dr

Ponseti told us that she would be in them about 3 months before

starting to reduce the times. is a little younger and we

hadn't been in the bar for 3 months only about 1 month, but I think

you would start the time over again.

1/30/04 bilateral atypical clubfeet in casts until Friday or

maybe later if the shoes don't show up soon

May 25, 2004

Joanne,

I don't know about the figure you quoted...I just thought that 85-90 % of CF

kids had to have the tenotomy at some point in their treatment (at least

infants). The shoes were to maintain the correction after casting (obviously)

but then thought he was having a relapse. His foot wasn't staying in the shoes

well so they did the tenotomy because the heel was still tight.

His foot was relatively mild compared to mine, however. I didn't know there

was a particular order to how the procedure went...I thought that if the foot

was still stiff then they did the surgery and put them back into shoes.

> > Hi all,

> >

> > just had his tenotomy last Monday. Before that, we'd been in

> the DBB

> > since January, so obviously we had hit the three-month mark. When

> does

> > wear decrease after the tenotomy? Do you start all over again from

> there and

> > go another three months? By then he should probably be

> crawling/starting to

> > pull up. Just curious.

> >

> > 11.23.03

> > DBB 1.14.04

> > Tenotomy 5.17.04

May 25, 2004

,

My daughter was treated using the Ponseti method at 4 days old. She had

4 casts and no tenotomy because I was told it corrected easily (even

though the clubfoot was severe). She wore her shoes full-time until she

was 5 months old. At 10 months, I noticed that her clubfoot was not as

easily flexed (upward---dorsiflexed). We went to our doctor and he did

the tenotomy in late March of 2002 when she was almost 11 months old.

She was in a cast for 3 weeks after the tenotomy and then in the shoes

for another 3 months full-time. Although it was a real pain to go

through the shoes full-time in the middle of summer with a one year

old, it was well worth it. She's almost 3 years now and has BEAUTIFUL

corrected feet! She did begin walking a little behind schedule (at 15

months) probably partially due to the full-time shoe wear.

Hope this helps,

Amy

( 6-10-01)

> Joanne,

>

> I don't know about the figure you quoted...I just thought that 85-90 %

> of CF

> kids had to have the tenotomy at some point in their treatment (at

> least

> infants). The shoes were to maintain the correction after casting

> (obviously)

> but then thought he was having a relapse. His foot wasn't staying in

> the shoes

> well so they did the tenotomy because the heel was still tight.

>

> His foot was relatively mild compared to mine, however. I didn't know

> there

> was a particular order to how the procedure went...I thought that if

> the foot

> was still stiff then they did the surgery and put them back into shoes.

>

> > > Hi all,

> > >

> > > just had his tenotomy last Monday. Before that, we'd been in

> > the DBB

> > > since January, so obviously we had hit the three-month mark. When

> > does

> > > wear decrease after the tenotomy? Do you start all over again from

> > there and

> > > go another three months? By then he should probably be

> > crawling/starting to

> > > pull up. Just curious.

> > >

> > > 11.23.03

> > > DBB 1.14.04

> > > Tenotomy 5.17.04

>

May 25, 2004