| Calcaneal lengthening for the planovalgus foot deformity in children with cerebral palsy. | |
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MedLine Citation:
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PMID: 16294136 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The authors studied the outcomes of calcaneal lengthening for the treatment of planovalgus foot deformity in ambulatory children with cerebral palsy (92 feet in 56 children, mean age 9.2 years), attempting to define the surgical indication in terms of the severity of the foot deformity. Sixty-nine cases (75%) showed satisfactory clinical outcomes at an average follow-up of 5.2 years (range 4.0-17.2 years). Gait parameters such as foot progression angle, ankle motion in sagittal plane, and its power generation improved after operation. Preoperative talocalcaneal angle, talo--first metatarsal angle, and calcaneal pitch on weight-bearing lateral radiographs were predictive of the satisfactory results of the index operation. The authors conclude that calcaneal lengthening is an effective procedure for moderate to severe planovalgus foot deformities in children with cerebral palsy, but there is a limit under which the index operation can be performed safely: less than 35 degrees of talocalcaneal angle, less than 25 degrees of talo--first metatarsal angle, and more than 5 degrees of calcaneal pitch on weight-bearing lateral radiographs. |
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Authors:
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Won Joon Yoo; Chin Youb Chung; In Ho Choi; Tae-Joon Cho; Dong Han Kim |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric orthopedics Volume: 25 ISSN: 0271-6798 ISO Abbreviation: J Pediatr Orthop Publication Date: 2005 Nov-Dec |
Date Detail:
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Created Date: 2005-11-18 Completed Date: 2006-03-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8109053 Medline TA: J Pediatr Orthop Country: United States |
Other Details:
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Languages: eng Pagination: 781-5 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Seoul National University Children's Hospital, Seoul, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Bone Lengthening / methods* Calcaneus / radiography, surgery Cerebral Palsy / complications* Child Child, Preschool Foot / pathology, physiopathology Foot Deformities, Acquired / etiology, physiopathology, surgery* Foot Joints / surgery Gait / physiology Humans Osteotomy / methods Patient Satisfaction Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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