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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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Unless she can develop a boot that can mimic the

different stages but then again every child is unique

and every case will need to be adjusted to the child.

--- Number23 number23@...> wrote:

> 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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Unless she can develop a boot that can mimic the

different stages but then again every child is unique

and every case will need to be adjusted to the child.

--- Number23 number23@...> wrote:

> 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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,

The purpose of the casting is hold the foot perfectly in its place without

the slightest movement. Each baby has a different foot and the casting

can mold to each foot. I don't see how a brace is possible. It would

have to mimic a cast mold. And well, if it is going to mimic a cast, why

not just use a cast?

Shook

Retail Operations Manager/Baking Instructor

Vie de France Yamazaki, Inc.

2070 Chain Bridge Rd. Suite 500

Vienna, VA 22182

x374

x374

fax

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Very well put!

10-09-03 atypical bl cf dbb 23/7

> 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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