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Discusión entre pares / 2 hrs old pt with CTEV foot left….can we start serial pop casting rt now…..what is the current recommendation of ponseti method ……??????
Rudra Narayan PandeyDrUmesh Kumar Boss Casting should be started as soon as the baby is brought to you but we are tought to start after a week for two reasons… 1. POP disturbs the mother and baby contact. The new born should be in close contact with mother…psychological and hormonal effects. 2. The new borns has very delicate skin…POP can damage it.
You know up to two years ponseti works well… there is no harm in delaying for a week or so. You still have ample of time. Give mother time to recover from post partum effect and baby to know her/ his mother
Paul AntonyYou can start serial casting any time we used start after 1 to 2 weeks. More important thing is that if the baby is too small. After 5 serial casting you will not get the proper Size DB shoes. This is very important. We are facing this situation some times
Nadir ShahThr s no litreture supporting d exact time to start ponseti, it shd b started as soon as possible considering d baby’s skin it differs to institute to institute n people to people,but yes mother shd b taught manipulation till casting s started..
Avishek Ray GhatakAccelerated Ponseti…5day intervals…check global-health.org for procedure…probably require 5-6 casts…TA tenotomy a must to prevent recurrence of equinus…most importantly, educate the patient party of the requirement of a correct Foot Abduction Orthosis…after serial casting…Left foot 70 degree abduction…Right 45 degree…and the hours of wear…22/24hours…den Night n Nap protocol…I feel the biggest problem with recurrences is lack of patient education…parents come back saying that the shoes have become too small or the child refuses to wear them….
DrHariprasad Chowdary MunnangiI accept with Dr. Rudra. Ponseti is wonderful technique. casting can b started 2 weeks later. Teach mother about serial stretchings till then. Ponseti cast can b changed at weekly basis. Parent education is very important. They shud follow ur orders till 3 yrs. orelse recurrence may occur. I prefer percut tenotomy in most of my cases. All the best.
Pavankumar Raviplease rule out secondary causes before labeling it as idiopathic club foot, if idiopathic clubfoot then its your choice how early you want to cast based on your comfort levels with casting without anaesthesia, earlier better…
Santosh MahapatraPonseti has not given any guideline about when to start but should be started as soon as possible… and 2 hr is too young and skin might be too soft to start. Can be waited up to 2 wk and then start.
Avishek Ray GhatakIs there any evidence to suggest that Ponseti’s casting interferes with mother child bonding…or skin problems related to the casting technique…Ben Sahel’s strapping seems to be a temporising method here…which I cannot fathom why…mother manipula…Ver más