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Alternative to Casting

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Hi Everyone!

My name is and I am an engineering student at Montana State

University. I am working on my senior design project and need some

feedback from parents. My projects is to design an adjustable brace

that would replace the casting. My questions for you guys are , what

are the strengths of the current (Ponseti) method and what are the

drawbacks, could anything be improved and if so what? Also if any of

you would even be willing to talk to me on the phone that would be

great, just email me privatly nitrot150@.... and i will call you.

THanks for you Time

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I suggested she might be able to invent a new DBB system but as far as a

mechanical device to replace casting I doubt it can be done.

s.

Hi Everyone!

My name is and I am an engineering student at Montana State

University. I am working on my senior design project and need some

feedback from parents. My projects is to design an adjustable brace

that would replace the casting. My questions for you guys are , what

are the strengths of the current (Ponseti) method and what are the

drawbacks, could anything be improved and if so what? Also if any of

you would even be willing to talk to me on the phone that would be

great, just email me privatly nitrot150@.... and i will call you.

THanks for you Time

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I suggested she might be able to invent a new DBB system but as far as a

mechanical device to replace casting I doubt it can be done.

s.

Hi Everyone!

My name is and I am an engineering student at Montana State

University. I am working on my senior design project and need some

feedback from parents. My projects is to design an adjustable brace

that would replace the casting. My questions for you guys are , what

are the strengths of the current (Ponseti) method and what are the

drawbacks, could anything be improved and if so what? Also if any of

you would even be willing to talk to me on the phone that would be

great, just email me privatly nitrot150@.... and i will call you.

THanks for you Time

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Dear ,

I suggest you should first see the live casting

procedure if didn't saw yet. I think its the

experience and training of the doctor to adjust bones

in a particular right direction and which also varies

from case to case. However after acheiving the

correction by casting one can device some other type

of brace instead of DBB, but casting by an experience

doctor can't be totally eliminated.

Regards

Shahid

Karachi,Pakistan

92-021-6676961

--- nitrot150 nitrot150@...> wrote:

>

>

> Hi Everyone!

> My name is and I am an engineering student at

> Montana State

> University. I am working on my senior design

> project and need some

> feedback from parents. My projects is to design an

> adjustable brace

> that would replace the casting. My questions for

> you guys are , what

> are the strengths of the current (Ponseti) method

> and what are the

> drawbacks, could anything be improved and if so

> what? Also if any of

> you would even be willing to talk to me on the phone

> that would be

> great, just email me privatly nitrot150@....

> and i will call you.

> THanks for you Time

>

>

>

>

>

>

>

>

__________________________________________________

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Dear ,

I suggest you should first see the live casting

procedure if didn't saw yet. I think its the

experience and training of the doctor to adjust bones

in a particular right direction and which also varies

from case to case. However after acheiving the

correction by casting one can device some other type

of brace instead of DBB, but casting by an experience

doctor can't be totally eliminated.

Regards

Shahid

Karachi,Pakistan

92-021-6676961

--- nitrot150 nitrot150@...> wrote:

>

>

> Hi Everyone!

> My name is and I am an engineering student at

> Montana State

> University. I am working on my senior design

> project and need some

> feedback from parents. My projects is to design an

> adjustable brace

> that would replace the casting. My questions for

> you guys are , what

> are the strengths of the current (Ponseti) method

> and what are the

> drawbacks, could anything be improved and if so

> what? Also if any of

> you would even be willing to talk to me on the phone

> that would be

> great, just email me privatly nitrot150@....

> and i will call you.

> THanks for you Time

>

>

>

>

>

>

>

>

__________________________________________________

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Well the idea is for the brace or device to mimic the casting and

would be adjusted by a doctor at every step.

>

> >

> >

> > Hi Everyone!

> > My name is and I am an engineering student at

> > Montana State

> > University. I am working on my senior design

> > project and need some

> > feedback from parents. My projects is to design an

> > adjustable brace

> > that would replace the casting. My questions for

> > you guys are , what

> > are the strengths of the current (Ponseti) method

> > and what are the

> > drawbacks, could anything be improved and if so

> > what? Also if any of

> > you would even be willing to talk to me on the phone

> > that would be

> > great, just email me privatly nitrot150@y...

> > and i will call you.

> > THanks for you Time

> >

> >

> >

> >

> >

> >

> >

> >

>

>

> __________________________________________________

>

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Hi ,

Welcome to our group. I respect your notion and intentions. However,

I think that creating a device to mimick casting would be a lot more difficult

and expensive than casting itself. I think that it would also be a less

precise method of attaining correction because it doesn't seem possible that a

mold (or something like) could grow with the foot and hold the exact position as

accurately.

Casts are going to be difficult to replace. There are so many

positives and very few negatives to the casting procedure. They are custom made

weekly, easy to manipulate into proper position when put on, hard enough to hold

correction, soft enough to avoid sores (for the most part), not removable and

replaceable by inexperienced parents, but easily removable if/when needed,

quickly made, largely available, relatively lightweight and require minimal

resources and reasonably priced. Also, then you have to deal with possible

removal

by the parents, incorrect replacement, increased likelyhood of sores from a

fit that is less custom and probably a longer wear time. On top of that, it is

difficult enough to an ortho doc that is well trained in the casting method of

correction for clubfoot that it would have to be even more difficult to find

doctors that would be willing to train and use a new, unproven, unfamiliar

device. I also think it would be even more tricky finding educated parents to

test the new idea when so many people KNOW that casting works.

It is kind of like the old saying, " If if ain't broke, don't fix it. "

Casting works and from my experience it has very minimal drawbacks that far

outweigh the benefits.

I am not trying to be close minded, only honest. I just don't see what

could realistically replace the castings. Traction is too troublesome and much

more complicated and anything else I can picture is along the lines of an AFO,

which we all know is not the answer. Maybe you will prove me wrong though.

I agree with the previous post that your best bet is to work on improving the

DBB because that is where people run into the most problems and have the most

complaints; but there again, I don't see an effective alternative. In my

opinion, casting has little room for improvement unless you can come up with

clear, waterproof casts (that are porous enough to prevent excessive sweating)

so

people can see through them to check for sores....but that is still a cast and

not an alternative.

I hope that your mind is more creative than mine.

Good Luck on your endeavor and please keep us posted on your project, I am

sure we would all be interested in knowing the end result of your research.

Freeman

Kaitlin Freeman 3/9/04 LCF Sandals 12-14h/day

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