kate,
<<"Advice is needed here. I have been doing some reading on paediatric lower
limb rotational problems. With respect to internal tibial position, this
appears to be a condition only recognised by podiatry and even within
podiatry, recognition and treatment via serial casting appears to be out of
fashion.
Does anyone have any opinion, suggestions and/or knowledge of this
subject?">>
Orthotists also recognise this condition along with many others. As with any profession there are those who are up to date and those who perhaps are not.
Internal tibial rotation (tibial torsion)can be addressed with a knee ankle foot orthosis (KAFO).
The orthosis would need to in corporate a posteriorly mounted hinge with the foot held rigid. A strap would then need to be placed on the orthosis to creat an axteran tibial rotation moment.
The hinge is made by ultraflex, a USA company, website is
www.ultraflexsystems.com
The company specialise in motion assist joints for contracture management and to assist weak muscle function.
Best Wishes
Simon Dickinson
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