Document Detail


Long-term outcome evaluation in young adults following clubfoot surgical release.
MedLine Citation:
PMID:  20502239     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  30     ISSN:  1539-2570     ISO Abbreviation:  J Pediatr Orthop     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-09-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  379-85     Citation Subset:  IM    
Affiliation:
Shriners Hospitals for Children, Chicago, IL 60707, USA. agraf@shrinenet.org
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MeSH Terms
Descriptor/Qualifier:
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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