Suite 420 One Children's Place St. Louis, MO 63110 Tel: 314.454.4192 mattdobbs@earthlink.net
Shriners Hospitals for Children St. Louis Unit 2001 S. Lindbergh Blvd. St. Louis, MO 63131-3597 Tel: 314.432.3600 Fax: 314.872.7808 dobbsmatthew@hotmail.com |
| Free Ponseti Method Treatment |
Method Doctor in the center of the country available to offer free Ponseti Method Clubfoot correction to patients who travel there.
Be warned, not all Shrine Hospitals offer Ponseti Method care. Most cases require you secure your own transportation to the hospital if you choose to use the St. Louis Shrine - but Angel Flights and other organizations (including the Shrine) can assist with such transportation. AngelFlights.org For more details, use the information at your left, or call Kristina Porter, Dr Dobbs Nurse at both Shriner's Hospital and Children's Hospital. 314-432-3600 |
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Don't let insurance or other financial concerns
prevent you from seeking the best treatment
available for your child. Below is information to
help you find the free Ponseti Method Treatment
you need.
| Check out Air Care Alliance to get you there. |
| The common errors in the treatment of the clubfoot and how to avoid them are: (excerpts from University of Iowa clubfoot information pages.) Having the parents remove the plaster cast at home the day before the cast change. Much correction is lost while the foot is out of the cast. The cast should not be removed more than an hour before the new cast is applied. Application of below knee instead of toe to groin casts. The longer plasters are needed to prevent the ankle and talus from rotating. Since the foot must be held in abduction under the talus, the talus must not rotate, otherwise the correction obtained by manipulation is lost. Failure to use shoes or molded orthotics attached to a bar in external rotation for three months full-time and at night for two to four years. These splints are necessary to counter the tendency of the ligaments to tighten, causing relapses. The ankles and knees are free to move and the leg and thigh muscles gain strenghth [11]. (Refering to the Foot Abduction Brace, commonly called a DBB or FAB) Surgeons with limited experience in the treatment of clubfoot should not attempt to correct the deformity with manipulation and plaster casts. They may succeed in correcting mild clubfeet, but the severe cases require experienced hands. It is easy to compound the deformity, making further treatment difficult or impossible. No more than two or three changes of cast should be undertaken if correction is not being achieved. Referral to a centre with expertise in the management of clubfoot should then be made so that more skilled manipulations can be done before tarsal release operation is considered [13-20]. The functional results are always better if this type of surgery can be avoided [1]. The treatment of an infant with congenital clubfeet and the outcome at 38 years of age are illustrated in Figures 18 to 30. The poor result of ill-advised surgery is illustrated in Figures 31 to 34. |