Correction of Planovalgus Deformity Through Rotational Reinsertion of the Lateral Layers of the Achilles Tendons in Ambulatory Children With Cerebral Palsy

U. Lashkouski , M. Ihnatouski , Jolanta Pauk , Kristina Daunoraviciene

Abstract

Symptomatic planovalgus deformity is a condition commonly seen in patients with cerebral palsy. The authors propose a new procedure for the management of this deformity through rotational reinsertion of the lateral layers of the Achilles tendon, and then they assess its benefit by comparing plantar pressure distribution patterns in children preoperatively and at 6- and 12-month intervals postoperatively. Pedobarographic measurements, range of motion of the ankle, and radiographic indexes were used to assess the outcome of the surgery. The functional abilities of the patients were assessed based on the Gross Motor Function Classification System. A total of 37 feet (22 patients) were included, with a mean ± standard deviation age at surgery of 11.8 ± 2.7 (range 9.1 to 14.5) years. All feet were managed through rotational reinsertion of the lateral layers of the Achilles tendon. Surgical correction of planovalgus has good outcomes. Significant changes were observed with statistical significance at the 5% (p ≤ .05) level in plantar pressure distribution in children preoperatively and at 6- and 12-month intervals postoperatively. The results show that the proposed method of surgery is effective in the correction of planovalgus in ambulatory children with cerebral palsy.
Author U. Lashkouski
U. Lashkouski,,
-
, M. Ihnatouski
M. Ihnatouski,,
-
, Jolanta Pauk (FME / DACR)
Jolanta Pauk,,
- Department of Automatic Control and Robotics
, Kristina Daunoraviciene
Kristina Daunoraviciene,,
-
Journal seriesJournal of Foot & Ankle Surgery, ISSN 1067-2516, (N/A 70 pkt)
Issue year2019
Vol58
No3
Pages528-533
Publication size in sheets0.5
Keywords in EnglishAchilles tendon, cerebral palsy, foot pressure, planovalgus, surgery
ASJC Classification2732 Orthopedics and Sports Medicine; 2746 Surgery
DOIDOI:10.1053/j.jfas.2018.11.001
URL https://www.jfas.org/action/doSearch?occurrences=author&searchText=Pauk&searchType=quick&searchScope=fullSite&journalCode=yjfas
Internal identifier000045355
Languageen angielski
LicenseJournal (articles only); author's final; Other open licence; with publication
Score (nominal)70
Score sourcejournalList
ScoreBUT score = 36.0
Ministerial score = 70.0, 06-03-2020, ArticleFromJournal
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2018 = 0.899; WoS Impact Factor: 2018 = 1.014 (2) - 2018=1.209 (5)
Citation count*
Cite
Share Share

Get link to the record


* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.
Back
Confirmation
Are you sure?