دورية أكاديمية
Extraarticular subtalar arthrodesis for pes planovalgus: an interim result of 50 feet in patients with spastic diplegia.
| العنوان: | Extraarticular subtalar arthrodesis for pes planovalgus: an interim result of 50 feet in patients with spastic diplegia. |
|---|---|
| المؤلفون: | Yoon HK; Department of Orthopaedic Surgery, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, Korea., Park KB, Roh JY, Park HW, Chi HJ, Kim HW |
| المصدر: | Clinics in orthopedic surgery [Clin Orthop Surg] 2010 Mar; Vol. 2 (1), pp. 13-21. Date of Electronic Publication: 2010 Feb 04. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Korean Orthopaedic Association Country of Publication: Korea (South) NLM ID: 101505087 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2005-4408 (Electronic) Linking ISSN: 2005291X NLM ISO Abbreviation: Clin Orthop Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Seoul : Korean Orthopaedic Association |
| مواضيع طبية MeSH: | Arthrodesis/*methods , Cerebral Palsy/*complications , Flatfoot/*surgery , Foot Deformities, Acquired/*surgery, Adolescent ; Bone Screws ; Bone Transplantation ; Child ; Child, Preschool ; Female ; Flatfoot/diagnostic imaging ; Flatfoot/etiology ; Foot/diagnostic imaging ; Foot Deformities, Acquired/etiology ; Humans ; Leg ; Male ; Muscle Spasticity/complications ; Muscle, Skeletal/surgery ; Postoperative Complications ; Radiography ; Subtalar Joint/diagnostic imaging ; Subtalar Joint/surgery ; Walking/physiology |
| مستخلص: | Background: There are no reports of the pressure changes across the foot after extraarticular subtalar arthrodesis for a planovalgus foot deformity in cerebral palsy. This paper reviews our results of extraarticular subtalar arthrodesis using a cannulated screw and cancellous bone graft. Methods: Fifty planovalgus feet in 30 patients with spastic diplegia were included. The mean age at the time of surgery was 9 years, and the mean follow-up period was 3 years. The radiographic, gait, and dynamic foot pressure changes after surgery were investigated. Results: All patients showed union and no recurrence of the deformity. Correction of the abduction of the forefoot, subluxation of the talonavicular joint, and the hindfoot valgus was confirmed radiographically. However, the calcaneal pitch was not improved significantly after surgery. Peak dorsiflexion of the ankle during the stance phase was increased after surgery, and the peak plantarflexion at push off was decreased. The peak ankle plantar flexion moment and power were also decreased. Postoperative elevation of the medial longitudinal arch was expressed as a decreased relative vertical impulse of the medial midfoot and an increased relative vertical impulse (RVI) of the lateral midfoot. However, the lower than normal RVI of the 1st and 2nd metatarsal head after surgery suggested uncorrected forefoot supination. The anteroposterior and lateral paths of the center of pressure were improved postoperatively. Conclusions: Our experience suggests that the index operation reliably corrects the hindfoot valgus in patients with spastic diplegia. Although the operation corrects the plantar flexion of the talus, it does not necessarily correct the plantarflexed calcaneus and forefoot supination. However, these findings are short-term and longer term observations will be needed. |
| References: | Clin Orthop Relat Res. 1993 Mar;(288):139-47. (PMID: 8458127) J Pediatr Orthop. 1994 May-Jun;14(3):363-8. (PMID: 8006170) J Bone Joint Surg Am. 2008 Aug;90(8):1712-21. (PMID: 18676902) J Foot Ankle Surg. 1999 Sep-Oct;38(5):313-21. (PMID: 10553544) J Bone Joint Surg Br. 1976 Nov;58-B(4):507-10. (PMID: 797696) J Pediatr Orthop. 1998 Nov-Dec;18(6):775-82. (PMID: 9821135) J Bone Joint Surg Am. 1995 Apr;77(4):500-12. (PMID: 7713966) J Pediatr Orthop. 1998 Jan-Feb;18(1):75-80. (PMID: 9449106) Instr Course Lect. 2004;53:511-22. (PMID: 15116640) J Pediatr Orthop. 1984 Sep;4(5):555-9. (PMID: 6490874) J Pediatr Orthop. 1993 Sep-Oct;13(5):634-41. (PMID: 8376566) Clin Orthop Relat Res. 1977 Jul-Aug;(126):220-4. (PMID: 598122) J Bone Joint Surg Am. 1952 Oct;34 A(4):927-40; passim. (PMID: 12990633) J Bone Joint Surg Br. 2004 Jul;86(5):737-42. (PMID: 15274273) Clin Biomech (Bristol, Avon). 2002 Jun;17(5):406-13. (PMID: 12084546) J Pediatr Orthop. 1998 Nov-Dec;18(6):789-93. (PMID: 9821137) Gait Posture. 2002 Feb;15(1):1-9. (PMID: 11809575) J Pediatr Orthop. 2002 Nov-Dec;22(6):813-8. (PMID: 12409913) J Bone Joint Surg Am. 2004 Jun;86(6):1203-10. (PMID: 15173293) |
| فهرسة مساهمة: | Keywords: Arthrodesis; Cerebral palsy; Extraarticular; Pes planovalgus; Subtalar joint |
| تواريخ الأحداث: | Date Created: 20100302 Date Completed: 20110511 Latest Revision: 20211020 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC2824090 |
| DOI: | 10.4055/cios.2010.2.1.13 |
| PMID: | 20190996 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2005-4408 |
|---|---|
| DOI: | 10.4055/cios.2010.2.1.13 |