Saturday, November 6, 2010

And the lame shall walk...


Dr. Andy has taken an interest in talipes (clubfoot). He just says the need presented itself, and he found himself reading about it after a patient presented with clubfoot. Then he started internet searches, which eventually led to a trip in the US to learn the Ponsetti method (and meet Ponsetti himself). Now one morning a week, he has a talipes clinic. Through a series of stretching, castings, tenotomy (cutting the Achilles), then splinting, he is able to take a foot like shown above, and straighten it out to walk. It's pretty amazing work if you ask me.

The most interesting part to me is actually the splinting. Clearly there are limited resources here, but Dr. Andy found away around the fancy equipment/shoes in the US to make a PNG version. Essentially he make a wooden base with a certain incline to it, and then screws shoes to it. He said they brought back a suitcase full of shoes from the US. It works!

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