The application of an externally applied torque surely is going to
affect the soft tissue before a bony torque is applied.
How do you stabilise the medial and lateral collateral ligaments as well
as the deltoid ligs for example, and apply an external torsion to the
tibia without compromising these structures ?
Tony Achilles
-----Original Message-----
From: A group for the academic discussion of current issues in podiatry
[mailto:[log in to unmask]] On Behalf Of [log in to unmask]
Sent: 18 November 2004 09:57
To: [log in to unmask]
Subject: Re: Serial Casting for Internal Tibial Position
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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