Bilateral Leg calve (Replys)
Juan Carlos Camacho
Description
Collection
Title:
Bilateral Leg calve (Replys)
Creator:
Juan Carlos Camacho
Date:
5/26/2001
Text:
Dear List members:
With the present, reciebe the summary of replys aboth the bilateral legg Calve pherts patient. I really appreciate all the answers!
I will publish my conclussions as soon as i conciliate a solution with the Dr.
Sincerelly Juan Carlos
Juan,
Most doctors will operate on kids for Perthes today. With regard to
orthotic management of Legg-Calves Perthes, we are not likely to find a
better brace than the Scottish Rite Atlanta Orthosis. When properly
fabricated the femoral head is well covered by the acetabulem and can be
verified radiographically. I'm not aware of any valid complaints against
this orthosis and it is clearly superior to any others.
Best regards, Jim Hoehne, C.O.
--------------------------
If the patient need to be maintained in internal rotation as well as
abduction, we make what is called a Robert's Orthosis. We mold both legs,
with the knees in about 30 degrees of flexion, from the thighs to the
ankles. On the positive (once they are poured), we mould leather over
stretched horsehide. This could also be plastic, but we have found that
although labor intensive, the leather is better against the body for the
long wear schedule. We keep the anterior opening slightly lateral, and
mount the two legs to an a-frame, keeping them as internally rotated as the
anterior opening will allow. We make a lace up closure from bottom to top,
which makes it tougher than Velcro to don and doff, but at the same time
makes it hard for the child to sneak out of it and get it back on before
anyone notices.
Jim Athearn
-----------------------------------------
dear Juan
I am belonging to Pakistan
I treat many more patients
Orthotic treatment of perthes disease is one of my research
according to modern research
the position of both limb will , as in the case of CDH
but this disease will come when the patient walk
there is no need to stop his/her walking
only to keep the limbs in abducation
in the result the head will come in to the cup
this process will take time
copmlete follow up is strongly recommende
you can also see this product in
www.ottobock.de
Please no hesitat to contact
Asif
orthotist / Prosthetist
-------------------------
Juan Carlos,
Are you familiar with SWASH? I work with CAMP Healthcare, and although it seems like an expensive solution to me, recently had a orthopedic surgeon tell me he will use it a lot for that. If you would like more info, let me know. Carol
------------------------
I would appreciate a copy of the responses you received to this Legg Perthes
question. Thank you.
Mark Travis
--------------------
With the present, reciebe the summary of replys aboth the bilateral legg Calve pherts patient. I really appreciate all the answers!
I will publish my conclussions as soon as i conciliate a solution with the Dr.
Sincerelly Juan Carlos
Juan,
Most doctors will operate on kids for Perthes today. With regard to
orthotic management of Legg-Calves Perthes, we are not likely to find a
better brace than the Scottish Rite Atlanta Orthosis. When properly
fabricated the femoral head is well covered by the acetabulem and can be
verified radiographically. I'm not aware of any valid complaints against
this orthosis and it is clearly superior to any others.
Best regards, Jim Hoehne, C.O.
--------------------------
If the patient need to be maintained in internal rotation as well as
abduction, we make what is called a Robert's Orthosis. We mold both legs,
with the knees in about 30 degrees of flexion, from the thighs to the
ankles. On the positive (once they are poured), we mould leather over
stretched horsehide. This could also be plastic, but we have found that
although labor intensive, the leather is better against the body for the
long wear schedule. We keep the anterior opening slightly lateral, and
mount the two legs to an a-frame, keeping them as internally rotated as the
anterior opening will allow. We make a lace up closure from bottom to top,
which makes it tougher than Velcro to don and doff, but at the same time
makes it hard for the child to sneak out of it and get it back on before
anyone notices.
Jim Athearn
-----------------------------------------
dear Juan
I am belonging to Pakistan
I treat many more patients
Orthotic treatment of perthes disease is one of my research
according to modern research
the position of both limb will , as in the case of CDH
but this disease will come when the patient walk
there is no need to stop his/her walking
only to keep the limbs in abducation
in the result the head will come in to the cup
this process will take time
copmlete follow up is strongly recommende
you can also see this product in
www.ottobock.de
Please no hesitat to contact
Asif
orthotist / Prosthetist
-------------------------
Juan Carlos,
Are you familiar with SWASH? I work with CAMP Healthcare, and although it seems like an expensive solution to me, recently had a orthopedic surgeon tell me he will use it a lot for that. If you would like more info, let me know. Carol
------------------------
I would appreciate a copy of the responses you received to this Legg Perthes
question. Thank you.
Mark Travis
--------------------
Citation
Juan Carlos Camacho, “Bilateral Leg calve (Replys),” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/216487.
