Re: CETV Splint

Re: CETV Splint

msud .

11/2/2009

Dear Mr lenka,

I Hope this will be the answer to your problem.

 The abstract is from the paper written by David M. Scher,
MD< <URL Redacted>>
Associate Attending Orthopedic Surgeon, Hospital for Special Surgery,
Associate Professor, Weill Cornell Medical College

Maintenance and Recurrence Prevention

Upon removal of the final cast, the infant is placed into an orthosis or
brace which maintains the foot in its corrected position. The purpose of
this splinting, after the casting phase in the Ponseti method, is to
maintain the foot in the proper position, with the forefeet set apart and
pointed upward. This is accomplished with a brace consisting of shoes
mounted to a bar. (Figure 7)

[image: Image of the foot orthotic.]
Figure 7: Image of the foot orthotic.

The brace is worn 23 hours per day for the first 3 months following casting
and then while sleeping for several years to follow, usually until around
age three or four. Two recent studies have demonstrated the high risk for
recurrence if the brace is not worn according to these guidelines. The
reasons for recurrence in feet that appear to be fully corrected have not
yet been clearly proven, but regardless of the cause, recurrence appears to
be close to zero when the bracing regimen is followed accurately. In one
study, researchers reported no recurrences among patients compliant with the
foot abduction orthosis compared with 57% recurrence among non-compliant
patients when studied at short-term follow-up. (Thacker MM, Scher DM, Sala
DA, et al: Use of the foot abduction orthosis following Ponseti casts: Is it
essential? J Pediatric Orthop 25:225-228, 2005)



Regards



Manish Sood

Prosthetist & Orthotist

Director

International Rehab Pvt Ltd

A-4/436 Paschim Vihar, New Delhi-110063 (India)

Ph: - 91 11 42316811-20(10 Lines)

Fax: - 91 11 42316821

Web site; - www.irpl.co.in E-mail: - <Email Address Redacted>



On 10/31/09, Dr P K Lenka < <Email Address Redacted> > wrote:
>
> does any one know any specific CTEV brace used after reduct
> Dear List,
>
> does any one know any specific CTEV brace used after reduction in ponsetis
> technique ? I got this question when I was presenting Paper on CTEV bracing
> in West bengal Orthopaedic conference today.
>
> Regards
>
> Dr. Prasanna Lenka, M-Tech,Ph.D
> NIOH(Under Ministry of Social Justice & Empowerment, Govt. Of India)
> B T Road,Bonhooghly, Kolkata-90
> 033-2321-3242(R)
> 033-2531-3232(O)
> 09433175340(m)
>
>
>
>
>