DDH & CTEV
Felicity Williams
Description
Collection
Title:
DDH & CTEV
Creator:
Felicity Williams
Date:
6/20/2007
Text:
Hi,
Just wondering what others are doing for infants with both DDH and CTEV? I've come across three this year and all under different surgeons and different goals.
Child 1: (B) DDH and CTEV, rare genetic condition (undiagnosed at the time) and was in a Correctio Brace for her hips (Teufel Orthopaedics) with her serial casts and then in AFO's set in dorsi-flexion and eversion for the feet. We were unconcerned about the internal rotation and more concerned with the hips as she will never be a walker.
Child 2: (B) DDH and CTEV Spina bifida - Correctio brace with his serial casts and then boots and bar only, bar wider than normal to achieve some hip abduction (approx 30deg each hip). My concern is/was that the rotation is coming only from the hip and not from below the knee from being in the hip brace, and I think I would have rathered him in Wheaton style KAFO's, possibly with a bar between them to maintain the hip flexion/abduction, however the surgeon was not concerned with this or his hips stating that it was common for children with Spina bifida to walk with dislocated hips (!). He did not have a hip x-ray or ultrasound before being removed from the hip brace although felt stable.
Child 3: No other conditions, (B) DDH, unilateral CTEV only. Was fitted with a Pavlik harness by a colleague last week however the physio reports that they are having difficulties with the harness due to the size difference between the legs. Will r/v the hip brace next week. Is due to finish serial casts shortly but hips are likely to be braced longer .
Suggestions for treatment options for each child would be appreciated - particularly for child 3 on how to best brace feet and hips.
Thank-you,
Felicity Williams
Orthotist
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Just wondering what others are doing for infants with both DDH and CTEV? I've come across three this year and all under different surgeons and different goals.
Child 1: (B) DDH and CTEV, rare genetic condition (undiagnosed at the time) and was in a Correctio Brace for her hips (Teufel Orthopaedics) with her serial casts and then in AFO's set in dorsi-flexion and eversion for the feet. We were unconcerned about the internal rotation and more concerned with the hips as she will never be a walker.
Child 2: (B) DDH and CTEV Spina bifida - Correctio brace with his serial casts and then boots and bar only, bar wider than normal to achieve some hip abduction (approx 30deg each hip). My concern is/was that the rotation is coming only from the hip and not from below the knee from being in the hip brace, and I think I would have rathered him in Wheaton style KAFO's, possibly with a bar between them to maintain the hip flexion/abduction, however the surgeon was not concerned with this or his hips stating that it was common for children with Spina bifida to walk with dislocated hips (!). He did not have a hip x-ray or ultrasound before being removed from the hip brace although felt stable.
Child 3: No other conditions, (B) DDH, unilateral CTEV only. Was fitted with a Pavlik harness by a colleague last week however the physio reports that they are having difficulties with the harness due to the size difference between the legs. Will r/v the hip brace next week. Is due to finish serial casts shortly but hips are likely to be braced longer .
Suggestions for treatment options for each child would be appreciated - particularly for child 3 on how to best brace feet and hips.
Thank-you,
Felicity Williams
Orthotist
SOUTH EASTERN SYDNEY AND ILLAWARRA AREA HEALTH SERVICE CONFIDENTIALITY NOTICE
NB: *** Due to an organisational amalgamation, email addresses for recipients in this organisation have changed. Please update your contacts list with the details of the email addresses contained within.
This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
This email message has been virus-scanned. Although no computer viruses were detected, South Eastern Sydney and Illawarra Area Health Service accept no liability for any consequential damage resulting from email containing any computer viruses.
Citation
Felicity Williams, “DDH & CTEV,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/228298.
