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
AbstractSymptomatic 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.
|Journal series||Journal of Foot & Ankle Surgery, ISSN 1067-2516, (N/A 70 pkt)|
|Publication size in sheets||0.5|
|Keywords in English||Achilles tendon, cerebral palsy, foot pressure, planovalgus, surgery|
|License||Journal (articles only); author's final; ; with publication|
|Score|| = 36.0|
= 70.0, 06-03-2020, ArticleFromJournal
|Publication indicators||: 2018 = 0.899; : 2018 = 1.014 (2) - 2018=1.209 (5)|
* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.