| Long-term outcome evaluation in young adults following clubfoot surgical release. | |
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MedLine Citation:
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PMID: 20502239 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The aim of this study was to evaluate the long-term outcome of a comprehensive surgical release for congenital talipes equinovarus (CTEV). METHODS: Gait, strength, segmental foot motion, and outcomes questionnaire data were collected on 24 adults (21.8+/-2.3 y) who were surgically treated for CTEV as infants. These data were statistically compared with of 48-age group matched controls (23.2+/-2.4 y). RESULTS: The clubfoot group was functional in activities of daily living, although most patients did experience foot pain after a day of typical activities, such as walking, standing, using stairs and doing exercise. Lower extremity gait kinematics was similar to the control group. There were differences in segmental foot motion with the hindfoot in a more plantarflexed position relative to the tibia and the forefoot dorsiflexed, and adducted relative to the hindfoot. Ankle plantarflexion and inversion strength and range of motion was reduced in the clubfoot group in association with an increase in hip power generation during the preswing and initial swing phases of the gait cycle. CONCLUSIONS: Surgical correction of CTEV was successful in providing a functional plantigrade foot as the patients reached adulthood. However, limitations included foot pain, limited foot range of motion, and weakness. LEVEL OF EVIDENCE: Level III. |
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Authors:
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Adam Graf; Sahar Hassani; Joseph Krzak; Jason Long; Angela Caudill; Ann Flanagan; Daniel Eastwood; Ken N Kuo; Gerald Harris; Peter Smith |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Journal of pediatric orthopedics Volume: 30 ISSN: 1539-2570 ISO Abbreviation: J Pediatr Orthop Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-26 Completed Date: 2010-09-09 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: 379-85 Citation Subset: IM |
Affiliation:
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Shriners Hospitals for Children, Chicago, IL 60707, USA. agraf@shrinenet.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adult Ankle Joint / physiopathology Biomechanics Case-Control Studies Clubfoot / surgery* Female Follow-Up Studies Foot / physiopathology, surgery* Gait* Humans Male Pain / etiology Range of Motion, Articular Recovery of Function Time Factors Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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