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Nearly one year post ATTT

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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

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