<\/p>\n\n\n\n
I think my child has\nan urgent, more acute problem. How can I get a quick appointment?<\/em><\/strong><\/p>\n\n\n\n Please explain the\nsituation to my assistants; they will discuss it with me. Another option is to\nsend me an email. Both ways, I can make sure that you get an appointment in the\nshortest time possible. <\/p>\n\n\n\n Can I be with my child\nwhen he or she needs to stay in the hospital overnight? <\/em><\/strong><\/p>\n\n\n\n If your child is\nyounger than 12 years of age, you can stay together in the hospital room. <\/p>\n\n\n\n What happens when my child needs to stay in the hospital for a longer\ntime and misses classes? <\/em><\/strong><\/p>\n\n\n\n The Orthopedic\nHospital Speising has a hospital school, and the teachers can help your child\nto catch up with missed curriculum, exercises, and homework. <\/p>\n\n\n\n I have a malalignment \/\ndeformity \/ shortening of my leg. Do I need to get x-rays?<\/em><\/strong><\/p>\n\n\n\n X-rays to evaluate\ndeformity and limb-length discrepancy need to be obtained in a standardized\nway. Please contact us so that we can recommend institutes that are familiar\nwith our x-ray protocol. It is possible to get your x-rays within walking\ndistance of my office. I can evaluate them and we can discuss them during an\nappointment that same day. <\/p>\n\n\n\n I come from abroad and\ndo not have an Austrian insurance. Can I still have surgery with you?<\/em><\/strong><\/p>\n\n\n\n If surgery is\nrecommended after a detailed examination and discussion of treatment options, I\ncan send you an estimation of cost. In rare cases, the healthcare system of\nyour home country might cover a certain amount of the treatment cost. Our hospital\nadministration can provide you with the necessary forms.<\/p>\n\n\n\n What is the procedure\nwhen I need surgery? How long do I need to stay in the hospital?<\/em><\/strong><\/p>\n\n\n\n I can register you for\nsurgery from my office. Hospital administration will then contact you with\ninformation about possible dates for surgery. Sometimes it is advisable to come\nto the hospital for a preoperative examination and assessment approximately 1\nweek before surgery. During that appointment, an examination by our\npediatrician or internist, evaluation and informed consent from anesthesia, and\nstandard orthopedic examination and surgical informed consent are covered. \n\nOn the first day after surgery, I will perform a\ndressing change and discuss with you the next steps. Mobilization with or\nwithout crutches is started on the first day (or on the second day at the\nlatest) with the help of our physical therapists. The duration of the inpatient\ntreatment on the ward depends on the extent and complexity of surgery but is\nusually between 1 and 7 days. Removal of the stitches is performed 12 to 14\ndays after surgery in my office. Follow-up examinations can be done in my\noffice or in the hospital\u2019s outpatient clinic, depending on the type of surgery\nperformed.\n\n\n\n<\/p>\n\n\n\n How quickly does the\ntreatment need to be started? <\/em><\/strong><\/p>\n\n\n\n Ideally, treatment\nshould start the second to third week after birth. There is absolutely no need\nto start immediately or within the first 2 weeks. Under certain circumstances (such\nas pre-term birth), it is possible to delay treatment even until 3 months of\nage. <\/p>\n\n\n\n Is percutaneous tendo-Achilles\ntenotomy (pTAT) necessary? <\/em><\/strong><\/p>\n\n\n\n In more than 90% of\ncases, this minimally invasive procedure is necessary to complete the correction.\nOnly mild clubfoot and positional clubfoot can be corrected without a tenotomy\nof the Achilles tendon. <\/p>\n\n\n\n How can I wash my baby\nwhen the cast is on? <\/em><\/strong><\/p>\n\n\n\n The cast cannot get\nwet. Therefore, you need to wash your baby with a washcloth, keeping the cast\ndry. However, you can bathe your baby between removal of the cast and\napplication of the new cast. A baby bathtub and towels are available in the\nclubfoot clinic.<\/p>\n\n\n\n How long does the\nfixator need to stay in place?<\/em><\/strong><\/p>\n\n\n\n Depending on the type\nof surgery (lengthening or deformity correction or fusion of bone and\/or joint\nsegments) the frame needs to stay attached to the bone for approximately 4 to 6\nmonths. In adults with substantial bone lengthening of 5 to 6 cm, the time in the\nframe can increase to 9 months. <\/p>\n\n\n\n Can I walk with an\nexternal fixator or six-axis frame?<\/em><\/strong><\/p>\n\n\n\n In the beginning,\nmobilization is achieved by using crutches and partial weight-bearing. During\ntreatment, full weight-bearing is usually possible. The crutches can be\ndiscontinued when callus formation (new bone) is visible on x-rays. External\nfixation frames are especially stable. Rare involuntary loading above the\nrecommended weight-bearing regime is usually without danger. <\/p>\n\n\n\n Can I shower with an\nexternal fixator or six-axis frame?<\/em><\/strong><\/p>\n\n\n\n Yes, you can shower when\nthe stitches are removed, which is usually 2 weeks after surgery. The external\nfixation frame does not need to be covered; water and soap can run down the\ninvolved extremity. However, the area should not be scrubbed with soap.<\/p>\n\n\n\n What can I wear with\nan external fixator or six-axis frame?<\/em><\/strong><\/p>\n\n\n\n Wide and baggy pants\ncan be used. Many patients remove the stitches of the trouser to add additional\ncloth with or without a zipper for easy access. If you like, we can put you in\ncontact with tailors who have experience with this kind of alteration. <\/p>\n\n\n\n Is the adjustment and\nlengthening with an external fixator six-axis frame painful?<\/em><\/strong><\/p>\n\n\n\n Adjustment and\nlengthening usually do not inflict pain. Occasionally, the pins and wires can\nlead to mild pain and irritation, especially in areas with notable skin motion\naround the fixation. However, pain is usually mild and can be well controlled\nwith adequate pain medication. <\/p>\n\n\n\n Do I \/ does my child\nhave to stay in the hospital during the lengthening process?<\/em><\/strong><\/p>\n\n\n\n Inpatient treatment\nusually lasts 5 to 7 days. After the patient leaves the hospital, lengthening\nusing the external remote control is performed at home, often with the help of\nfamily members. Physical therapy is essential for a good functional outcome,\nand weekly follow-up examinations in our outpatient clinic are necessary. When\nthe goal of lengthening is achieved, the bone regenerate (newly formed bone) needs\nto heal and get back to its biomechanical stability. During that phase of\ntreatment, follow-up visits are usually every 6 weeks. <\/p>\n\n\n\n Do you perform\ncosmetic lengthening?<\/em><\/strong><\/p>\n\n\n\n Because of our\nhospital guidelines and mission, we do not provide cosmetic lengthening. Only\nin cases of short stature as found in certain metabolic disorders or syndromes is\nlengthening performed in the absence of limb-length discrepancy. <\/p>\n\n\n\n What is the amount of limb-length\ndiscrepancy that makes bone-lengthening procedures necessary or medically\nindicated? <\/em><\/strong><\/p>\n\n\n\n Usually, a discrepancy\nof 2 cm is considered to be the threshold for surgical correction of limb-length\ndiscrepancy. Smaller discrepancies can be treated with conservative measures,\nsuch as insoles or shoe lifts. <\/p>\n\n\n\n How does distraction\nof the lengthening nails work? Is there a connection to the outside? <\/em><\/strong><\/p>\n\n\n\n The nail is inserted completely\nwithin the bone. Distraction is performed by using a strong magnet within the\nnail and an external remote control that is placed against the skin. This is\ndone three to four times a day for less than 2 minutes each time. The magnet in\nthe external remote control activates and spins the magnet within the nail,\nresulting in slow distraction. <\/p>\n\n\n\n <\/p>\n","protected":false},"excerpt":{"rendered":" General Questions I think my child has an urgent, more acute problem. How can I get a quick appointment? Please explain the situation to my assistants; they will discuss it with me. Another option is to send me an email. Both ways, I can make sure that you get an appointment in the shortest time … Continue reading FAQ<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":18,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"translation":{"provider":"WPGlobus","version":"2.12.2","language":"en","enabled_languages":["de","en"],"languages":{"de":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false}}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/pages\/266"}],"collection":[{"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/comments?post=266"}],"version-history":[{"count":27,"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/pages\/266\/revisions"}],"predecessor-version":[{"id":4126,"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/pages\/266\/revisions\/4126"}],"up":[{"embeddable":true,"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/pages\/18"}],"wp:attachment":[{"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/media?parent=266"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n\n\n\nClubfoot<\/a><\/strong><\/h2>\n\n\n\n
\n\n\n\nExternal Fixation<\/a><\/strong> <\/a><\/h2>\n\n\n\n
\n\n\n\nLengthening Nails <\/a><\/strong><\/h2>\n\n\n\n