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I have lost a few patients because of this call, but that's life. Apply stockinette 3. Apply cast padding to protect the tibia, 1st met head, and most important the common peroneal nerve. I use plaster of Paris as I am comfortable with it. Many of my colleagues use fiberglass.
Put the foot in the same position as LP). Now that you stretched the ligaments and put the foot in the correct position, apply the plaster. Snug, but not too tight. Allow to dry before leaving the office 6. There is some debate as to the interval between casting. I usually apply the first three casts every week, then stretch it out to two weeks. I might go three weeks if the child comes in corrected, but these kids grow like weeds.
I liken this to the man in the iron mask7. You can have the parents take the cast off the day before the next appointment by soaking a washcloth in baking soda, and anchoring it to the cast with rubber bands. This is far preferable than coming at your little patient with a cast cutter.
I have used the Wheaton brace several times and I don't remember particularly good results. Follow up with straight last or reverse last shoes. Don't forget the arch cookie. Query: Metatarsus Adductus Casting Code What code would be used to perform serial casting of children 2 and under for the treatment of metatarsus adductus?
Too big and hard to use No for kids. LP) big and hard to use. One person found this helpful. This Orthosis is very good. Very good product. Highly recommended. This was purchased for someone I LP) for on the advice of a physician.
It does seem to be doing its job, however, by the laws of physics, there is equal pressure exerted posteriorly as there is anteriorly.
This means that while there is pressure that is correcting the pectus deformity at the sternum, there is also localized pressure on the spinal column. This caused some spinal changes and back pain. I've modified the brace by adding a much wider posterior plate and padded it more. Hopefully this will help solve the problem. The design needs improvement. However, this much less expensive than most of your options out there and very good bang for Stipe Crustacea Patch - The Community Chest - Top Of The Hour (Vinyl buck.
Meaning you cant just purchase it here, put it on, and be good to go. My year-old son has this brace but we purchased through a local prosthetic and orthotic clinic. This worked very well but he was given a very thorough adjustment and fitting by a specialist at the clinic, along with a detailed schedule of building up a tolerance for wear.
This isn't something you should just purchase and use at home with no direction from a professional.
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