Anterior tibialis transfer

[Guest guest]

Sounds like he may be trying to prepare you for the worst later on - or that his

success rate isn't what it should be (because he is modifying his method?). As

for wearing a cast three weeks after the tenotomy, Dr. Ponseti told me he padds

the cast a lot to allow for growth; to keep it on a minimum of two weeks but

really aim for the three if at all possible. You'll see signs if it becomes

too tight, watch for swelling in the toes, blue or purple or reddening of the

toes, the baby's obvious discomfort, etc. at which time you take them off

yourself if necessary! The condition of the toes are your window so keep an eye

on them closely.

s.

Anterior tibialis transfer

Hi,

I wonder if someone could give me some information on the anterior

tibialis transfer surgery. My son is being treated with the

Ponseti method, and has made good progress so far. He has had 5 casts

so far. Next visit he is having the tenotomy, and then will be into

the brace beginning September.

However, his feet were quite severe and rigid to begin with. The Dr.

told me that he may need this anterior tibialis transfer around 3

years old, and mentioned that about one third of patients need this.

Now that surprised me, as I was of the impression that 95% of

patients were corrected without surgery. I also thought that this

surgery was usually due to non compliance with the bracing, and we

haven't even started with the brace.

Another question.... If the cast is left on for 3 weeks after the

tenotomy, doesn't it get very tight on the baby's legs? is

growing at such a rate, that I've been glad to have the casts changed

weekly. The cast he is in now will be on for 2 weeks, as the Dr. is

away next week. After that the next cast will be on for 3 weeks, but

I worry that he will get very uncomfortable.

Thanks for any help,

and 6/24/02 bc

[Guest guest]

Sounds like he may be trying to prepare you for the worst later on - or that his

success rate isn't what it should be (because he is modifying his method?). As

for wearing a cast three weeks after the tenotomy, Dr. Ponseti told me he padds

the cast a lot to allow for growth; to keep it on a minimum of two weeks but

really aim for the three if at all possible. You'll see signs if it becomes

too tight, watch for swelling in the toes, blue or purple or reddening of the

toes, the baby's obvious discomfort, etc. at which time you take them off

yourself if necessary! The condition of the toes are your window so keep an eye

on them closely.

s.

Anterior tibialis transfer

Hi,

I wonder if someone could give me some information on the anterior

tibialis transfer surgery. My son is being treated with the

Ponseti method, and has made good progress so far. He has had 5 casts

so far. Next visit he is having the tenotomy, and then will be into

the brace beginning September.

However, his feet were quite severe and rigid to begin with. The Dr.

told me that he may need this anterior tibialis transfer around 3

years old, and mentioned that about one third of patients need this.

Now that surprised me, as I was of the impression that 95% of

patients were corrected without surgery. I also thought that this

surgery was usually due to non compliance with the bracing, and we

haven't even started with the brace.

Another question.... If the cast is left on for 3 weeks after the

tenotomy, doesn't it get very tight on the baby's legs? is

growing at such a rate, that I've been glad to have the casts changed

weekly. The cast he is in now will be on for 2 weeks, as the Dr. is

away next week. After that the next cast will be on for 3 weeks, but

I worry that he will get very uncomfortable.

Thanks for any help,

and 6/24/02 bc

[Guest guest]

Hi,

I wonder if someone could give me some information on the anterior

tibialis transfer surgery. My son is being treated with the

Ponseti method, and has made good progress so far. He has had 5 casts

so far. Next visit he is having the tenotomy, and then will be into

the brace beginning September.

However, his feet were quite severe and rigid to begin with. The Dr.

told me that he may need this anterior tibialis transfer around 3

years old, and mentioned that about one third of patients need this.

Now that surprised me, as I was of the impression that 95% of

patients were corrected without surgery. I also thought that this

surgery was usually due to non compliance with the bracing, and we

haven't even started with the brace.

Another question.... If the cast is left on for 3 weeks after the

tenotomy, doesn't it get very tight on the baby's legs? is

growing at such a rate, that I've been glad to have the casts changed

weekly. The cast he is in now will be on for 2 weeks, as the Dr. is

away next week. After that the next cast will be on for 3 weeks, but

I worry that he will get very uncomfortable.

Thanks for any help,

and 6/24/02 bc