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Prosthetics & Orthotics

 

 

GARCHOIS CORSET

 

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Three improvements for the Garchois Corset:

(Dr. Catherine TOUZEAU – Garches, FRANCE)

1) The Duval-Beaupère scoliosis diagram is underused:
- It is a prognostic tool avoiding proposing management of scoliosis too late. The point P is well known, but the PPP (precocious pubic pilosity) characteristic of central neurological lesions is not well known despite the fact that it can be a very early marker of puberty-type progression.
- It is an evaluation tool visualizing the corrective power of the corset to monitor reducibility of the scoliosis over time.

2) Sagittal balance is important for correct sitting position. Using the pelvic parameters describe by Ms Duval-Beaupère xe now know which is the best theoretical pattern to target to achieve sagittal balance with the least energy cost. The corset can thus be tailored to the specific needs of the patient.

3) The sitting position can be fine tuned starting with a well-positioned pelvic base. The traditional moulded seat cannot correct for asymmetry because the child will “cheat” by rotating the pelvis. This must be taken into account to avoid major stress within the corset which can make it unbearable.

 

 

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