Рет қаралды 542
The difference in casting before and after tenotomy is significant.
Directly after tenotomy the doctor puts on the last plaster cast. It is very important and must be made ideally. It also needs to follow specific rules, that is, it needs to be in so-called hypercorrection.
Hypercorrection means a long-leg plaster cast (from toe to groin) with the knee bent at 90° (110°-120° for atypical or complex clubfeet). The foot in the plaster cast needs to be aducted about 60-70° (in real the foot is held in external rotation; atypical and complex clubfeet have their own ranges) and at 10-15° dorsiflexion at the same time.
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