Early Mobilization After Sliding Achilles Tendon Lengthening In Children With Spastic Cerebral Palsy
| العنوان: | Early Mobilization After Sliding Achilles Tendon Lengthening In Children With Spastic Cerebral Palsy |
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| المؤلفون: | M Soudry, N Apter, N Arbel, Kalman Katz |
| المصدر: | Foot & Ankle International. 21:1011-1014 |
| بيانات النشر: | SAGE Publications, 2000. |
| سنة النشر: | 2000 |
| مصطلحات موضوعية: | Male, musculoskeletal diseases, medicine.medical_specialty, Adolescent, Foot Deformities, Congenital, medicine.medical_treatment, Achilles Tendon, Cerebral palsy, 03 medical and health sciences, 0302 clinical medicine, Spastic cerebral palsy, Secondary Prevention, Humans, Medicine, Orthopedic Procedures, Orthopedics and Sports Medicine, Child, Retrospective Studies, 030222 orthopedics, Achilles tendon, Achilles tendon lengthening, business.industry, Cerebral Palsy, Retrospective cohort study, 030229 sport sciences, medicine.disease, Gait, Surgery, Tendon, Casts, Surgical, Treatment Outcome, medicine.anatomical_structure, Muscle Spasticity, Child, Preschool, Female, business, Splint (medicine), Follow-Up Studies |
| الوصف: | Equinus deformity is a common finding in children with cerebral palsy and may be treated by Achilles tendon lengthening. To prevent recurrence, some authors recommend immobilizing the operated leg with an aboveknee cast for six weeks, followed by use of a night splint or orthosis. Nevertheless, there are recurrence rates of up to 20.5%. The aim of this study was to evaluate the long-term result of postoperative immobilization for two weeks in a below-knee cast and early weight bearing, without the use of a splint or orthosis. Thirty-six children (52 feet) with spastic cerebral palsy underwent sliding Achilles tendon lengthening. Followup of five to ten years showed a comparable recurrence rate (19.2%) to that reported with the standard, more stringent management approach. Most of the recurrences were in children operated on before five years of age. We believe earlier motion helps to sustain the tendon length achieved at surgery and allows for earlier independent gait. |
| تدمد: | 1944-7876 1071-1007 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::457ed0a0e8a9b7c2b5f099dad2362c0e https://doi.org/10.1177/107110070002101205 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....457ed0a0e8a9b7c2b5f099dad2362c0e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19447876 10711007 |
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