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Tenotomy Question

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There are Doctors out there who cast the babies, put them in the

DBB/shoes, and then later do the tenotomy, recast, and then go back

to the shoes. In contrast, there is the casting, tenotomy, then

DBB/shoes approach. Does anyone know why the first approach is

used? Which scenario is preferable from a child's well being

perspective (maybe this depends on whether the tenotomy would be done

under general vs local anesthesia?)? It seems like a hassle to have

to go back later and do the tenotomy, since then the baby is back in

casts. Does the heel tighten up with time and then require it? I'm

curious what other parent's experience/knowledge about this is and

what explainations Doctors have given you for the first scenario.

Just trying to better educate myself here. Thanks for your reply.

and Sophia 12/8/03 bcf

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