Re: Re: Nearly one year post ATTT

[Guest guest]

Thanks for the update Dan. Do you find yourself terrified she will somehow

injur that foot now? had the ATTT when he was 2 and although I'm not as

paranoid as I used to be, I still worry about him inujuring his feet and tearing

up what the opeeration fixed.

I used to warn any baby sitters or care providers " Don't let anyone step on his

feet or let them get smashed or hurt in anyway! " I was so scared in those first

couple years the tendon would get torn loose before it had enough time to really

take hold permanently.

s.

Re: Nearly one year post ATTT

Dan,

Thanks for providing information for us about how Emma is doing. I

am glad that the ATTT has been working well.

and

>

> For those who don't know Emma's story I'll give a brief summary.

She was

> born on October 18, 1999 in Montreal, Canada. She was originally

treated

> with weekly castings at the Montreal Shriners for three months.

Casting was

> supposed to last 6 months followed by surgery on both feet. When

Emma was

> three months of age we took her to Iowa where Dr. Ponseti

corrected her feet

> with three sets of casts and tenotomies. We followed the DBB

routine to the

> letter until she was 19 months old when Dr. Ponseti had us

discontinue the

> DBB for fear of causing permanent over correction. Emma's relapse

began very

> slowly and went unnoticed until she was nearly 30 months when it

had greatly

> accelerated. The relapse was very mild on the right foot but

considerably

> worse on the left. Casting by a local doctor helped the right foot

somewhat

> but the left less so. Dr. Ponseti suggested that we wait until

Emma was

> older and do the ATTT.

>

> The ATTT was performed on Nov 12, 2003 by Dr. Morcuende. It's been

nearly

> one year, her left foot is now perfect and the right one nearly so

with some

> minor metatarsus adductus. Dr. Morcuende thinks this could even

improve over

> time but still won't be of concern if it doesn't. Both Drs.

Ponseti and

> Morcuende feel that the chances of another relapse are now gone.

>

> I guess I had alot less to say about the results of the ATTT after

one year

> but if anyone has questions please feel free to ask.

>

> Dan Montagano

[Guest guest]

I'm not sure exactly the entire medical definition - but the process is to

release a certain tendon through the top of the foot and re-attach it to a new

place. As far as club foot surgeries go, it's rather minor. No bones are

manipulated/broke/cut, just the tendon is pulled to a new tighter location. My

son went through this.

s.

Re: Nearly one year post ATTT

Sorry to sound dumb, but could you guys tell me what the ATTT stands

for? I gather it is some type of tendon release???? Is that what

usually is done when a foot relapses???

Thanks,

KK

Livi 01/22/03

Ava 05/27/04 BL Atypical CF/ FAB/s 23/7, 2nd go around

> >

> > For those who don't know Emma's story I'll give a brief summary.

> She was

> > born on October 18, 1999 in Montreal, Canada. She was originally

> treated

> > with weekly castings at the Montreal Shriners for three months.

> Casting was

> > supposed to last 6 months followed by surgery on both feet. When

> Emma was

> > three months of age we took her to Iowa where Dr. Ponseti

> corrected her feet

> > with three sets of casts and tenotomies. We followed the DBB

> routine to the

> > letter until she was 19 months old when Dr. Ponseti had us

> discontinue the

> > DBB for fear of causing permanent over correction. Emma's relapse

> began very

> > slowly and went unnoticed until she was nearly 30 months when it

> had greatly

> > accelerated. The relapse was very mild on the right foot but

> considerably

> > worse on the left. Casting by a local doctor helped the right

foot

> somewhat

> > but the left less so. Dr. Ponseti suggested that we wait until

> Emma was

> > older and do the ATTT.

> >

> > The ATTT was performed on Nov 12, 2003 by Dr. Morcuende. It's

been

> nearly

> > one year, her left foot is now perfect and the right one nearly

so

> with some

> > minor metatarsus adductus. Dr. Morcuende thinks this could even

> improve over

> > time but still won't be of concern if it doesn't. Both Drs.

> Ponseti and

> > Morcuende feel that the chances of another relapse are now gone.

> >

> > I guess I had alot less to say about the results of the ATTT

after

> one year

> > but if anyone has questions please feel free to ask.

> >

> > Dan Montagano

>

>

>

>

>

>

>

[Guest guest]

I did worry for quite some time but I'm much more at ease now that Dr.

Morcuende gave us the all clear. The first 6 months I wouldn't leave her

feet alone.

Dan

Re: Re: Nearly one year post ATTT

Thanks for the update Dan. Do you find yourself terrified she will somehow

injur that foot now? had the ATTT when he was 2 and although I'm

not as paranoid as I used to be, I still worry about him inujuring his feet

and tearing up what the opeeration fixed.

I used to warn any baby sitters or care providers " Don't let anyone step on

his feet or let them get smashed or hurt in anyway! " I was so scared in

those first couple years the tendon would get torn loose before it had

enough time to really take hold permanently.

s.

Re: Nearly one year post ATTT

Dan,

Thanks for providing information for us about how Emma is doing. I

am glad that the ATTT has been working well.

and

>

> For those who don't know Emma's story I'll give a brief summary.

She was

> born on October 18, 1999 in Montreal, Canada. She was originally

treated

> with weekly castings at the Montreal Shriners for three months.

Casting was

> supposed to last 6 months followed by surgery on both feet. When

Emma was

> three months of age we took her to Iowa where Dr. Ponseti

corrected her feet

> with three sets of casts and tenotomies. We followed the DBB

routine to the

> letter until she was 19 months old when Dr. Ponseti had us

discontinue the

> DBB for fear of causing permanent over correction. Emma's relapse

began very

> slowly and went unnoticed until she was nearly 30 months when it

had greatly

> accelerated. The relapse was very mild on the right foot but

considerably

> worse on the left. Casting by a local doctor helped the right foot

somewhat

> but the left less so. Dr. Ponseti suggested that we wait until

Emma was

> older and do the ATTT.

>

> The ATTT was performed on Nov 12, 2003 by Dr. Morcuende. It's been

nearly

> one year, her left foot is now perfect and the right one nearly so

with some

> minor metatarsus adductus. Dr. Morcuende thinks this could even

improve over

> time but still won't be of concern if it doesn't. Both Drs.

Ponseti and

> Morcuende feel that the chances of another relapse are now gone.

>

> I guess I had alot less to say about the results of the ATTT after

one year

> but if anyone has questions please feel free to ask.

>

> Dan Montagano