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Mesh Achilles tendon lengthening - a new method to treat equinus deformity in patients with spastic cerebral palsy: surgical technique and early results.
MedLine Citation:
PMID:  23192252     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Equinus of the ankle is a common deformity in spastic cerebral palsy. Many methods have been developed to lengthen the Achilles tendon to correct the deformity. A new mesh Achilles tendon lengthening (ATL) procedure that might decrease immobilization and promote recovery was performed in 36 tendons with equinus deformity (22 patients, average age=6.2). The results were compared with those of two other methods: the Vulpius group and the Z-lengthening group. The corrected dorsiflexion angle of the ankle at a subsequent 2-year follow-up of the mesh ATL and Vulpius groups matched (25.5±3.0 and 27.1±3.5°, respectively), whereas that of the Z-lengthening group was higher (33.9±3.8°). Nevertheless, statistics of the timing of each patient's readiness to begin rehabilitation and walking as well as gaining better stability for running and one-legged hopping indicated that the mesh ATL group recovered significantly quicker than the Vulpius and Z-lengthening groups. The mesh ATL procedure achieves a successful correction of the equinus deformity in spastic cerebral palsy comparable with that of the Vulpius procedure, with the advantage of preserving the gastrocnemius without a complete section. This confers greater antigravity stability and quicker recovery in patients.
Authors:
Cheng-Li Lin; Chii-Jeng Lin; Ming-Tung Huang; Wei-Ren Su; Tung-Tai Wu
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics. Part B     Volume:  22     ISSN:  1473-5865     ISO Abbreviation:  J Pediatr Orthop B     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-11-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9300904     Medline TA:  J Pediatr Orthop B     Country:  United States    
Other Details:
Languages:  eng     Pagination:  14-9     Citation Subset:  IM    
Affiliation:
aInstitute of Biomedical Engineering bDepartment of Orthopaedics, National Cheng Kung University Hospital, College of Medicine cMedical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan.
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