Clinical and functional outcome of recession of gastrosoleus by Vulpius procedure in spastic diplegia type cerebral palsy children
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 8, Issue 3
Abstract
Background: Equinus deformity is the most common foot deformity in patients with cerebral palsy, affecting 70% of children. There are many different procedures to correct the equinus deformity with most having insufficient research to support. Aim: To evaluate clinical and functional outcome of gastrosoleus recession by Vulpius technique to correct equinus deformity in spastic diplegia type cerebral palsy patients. Material and Methods: A total of 35 spastic diplegia type cerebral palsy patients with equinus deformity were treated with recession of gastrosoleus at its musculotendinous junction by Vulpius method. The patients were classified by Physician Rating Scale, Modified Ashworth Scale, Gross Motor Function Classification System, Expanded and Revised (GMFCS – E and R) and Modified Functional Walking Scale. Results: In mid-stance all patients improved to heel-toe or flat-foot except one. No change was observed in GMFCS-ER grades post-operatively. All the patients operated by our technique had plantigrade foot except one at end of one-year follow-up. All patients had significant improvement as all moved to next grade respectively. In all patients, spasticity decreased by at least one grade. Out of 34 patients, 26 required external support pre-operatively while only 11 required it post operatively at end of one-year. Conclusion: Gastrosoleus recession by Vulpius method is an effective procedure in treatment of spastic diplegia type cerebral palsy patients with equinus. Patient had good improvement with minimal complications.
Authors and Affiliations
Bharati Pankaj Deokar Sharma, Pankaj Nandkishor Sharma
Keywords
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- EP ID EP465754
- DOI 10.26611/1020833
- Views 44
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