Re: OANDP-L Digest - 18 Jul 2002 to 19 Jul 2002 (#2002-199)
Description
Collection
Title:
Re: OANDP-L Digest - 18 Jul 2002 to 19 Jul 2002 (#2002-199)
Text:
Hi Monica.
I would suggest you contact some of the Shriner's hospitals around. I'm
familiar with Scottish Rite in Dallas and get similar advice from them on
occasion. You should be able to get the best info and experience through them.
I've worked with a few Chopart patients who had surgeries as children and
are now in their 60's. Chopart seems to be preferable as it permits full
weight-bearing, presents a more stable distal end, maintains normal limb
length, and can be more cosmetic. The drawbacks are that an excellent
surgical technique is required to modify tendon insertions and give padding
to distal bone. Otherwise the sure result will be a plantar flexion
contracture and excessive distal pressure leading to breakdown.
Were it my child I would give serious thought to a BK level after consulting
an orthopedist regarding the consequences for bone growth.
Best Wishes,
Dave Gross CP
I would suggest you contact some of the Shriner's hospitals around. I'm
familiar with Scottish Rite in Dallas and get similar advice from them on
occasion. You should be able to get the best info and experience through them.
I've worked with a few Chopart patients who had surgeries as children and
are now in their 60's. Chopart seems to be preferable as it permits full
weight-bearing, presents a more stable distal end, maintains normal limb
length, and can be more cosmetic. The drawbacks are that an excellent
surgical technique is required to modify tendon insertions and give padding
to distal bone. Otherwise the sure result will be a plantar flexion
contracture and excessive distal pressure leading to breakdown.
Were it my child I would give serious thought to a BK level after consulting
an orthopedist regarding the consequences for bone growth.
Best Wishes,
Dave Gross CP
Citation
“Re: OANDP-L Digest - 18 Jul 2002 to 19 Jul 2002 (#2002-199),” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 26, 2024, https://library.drfop.org/items/show/219311.
