Long Term Follow-up of Subcutaneous Achilles Tendon Lengthening in the Treatment of Spastic Equinus Foot in Patients with Cerebral Palsy
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2015, Vol 17, Issue 2
Abstract
Background. Spastic equinus foot is among the most common deformities in patients with cerebral palsy. The optimal therapy of this condition is yet to be determined. Despite a considerable volume of literature concerned with the subject of cerebral palsy, there is still a need for studies focusing on long-term follow-up after corrective procedures. The study aimed to evaluate the long-term effects of subcutaneous Achilles tendon lengthening in the treatment of spastic equinus foot.Material and methods. A total of 100 patients after Hooke's or White's isolated subcutaneous lengthening of the Achilles tendon were invited to participate in the retrospective assessment. Of the above number, 53 patients reported for an examination (76 feet). The average follow-up time was 10.09 years. To enable a more accurate determination of the risk of recurrence, the patients were divided into two groups according to whether they had been operated before or after reaching the age of 8 years. All patients were able to walk and suffered from the spastic type of cerebral palsy.Results. The average age of patients at the time of the Achilles tendon lengthening procedure was 7 years. The follow-up time ranged from 3 to 17 years (an average of 10.09 years). The degree of equinus foot contracture before the surgery was from -5 to -60 degrees (an average of -17.53 degrees). Recurrence of the deformity was reported in 43.42% of the patients. Recurrences were more common in those with hemiplegic cerebral palsy.Conclusions. 1. Subcutaneous Achilles tendon lengthening is not associated with a risk of serious complications, while providing good long-term therapeutic outcomes as well as very good cosmetic and functional effects. 2. Subcutaneous Achilles tendon lengthening minimises the costs and time of patients' hospitalisation and uses a relatively simple operative technique.
Authors and Affiliations
Marcin Krupiński, Andrzej Borowski, Marek Synder
Keywords
Related Articles
- EP ID EP77233
- DOI 10.5604/15093492.1157092
- Views 62
- Downloads 0
Orthopedics in the Greater Lublin Area, 1954-2004
This article presents the history of the Orthopedics and Traumatology Clinic in the Greater Lublin Area in the fifty-year period from 1954 to 2004. The creation and development of comprehensive diagnostic and therapeutic...
Large Tumoral Calcinosis in The Gluteal Region: A Case Report
Background. Tumoral calcinosis is a poorly understood phenomenon. It can be described as a syndrome of calcium deposits principally affecting the juxta-articular areas. It is a rare entity that has been poorly understood...
Wpływ 12 tygodniowego treningu izokinetycznego na moment siły prostowników i zginaczy kolana u chorych po rekonstrukcji więzadła krzyżowego przedniego przy pomocy zginaczy
W pracy dokonano oceny momentu siły zginaczy (ZK) i mięśnia czworogłowego uda (QM) po 12 i 24 tygodniach od rekonstrukcji izolowanego uszkodzenia więzadła krzyżowego przedniego (WKP) zginaczami kolana. Badaniu poddano 20...
Skuteczność proprioceptywnego torowania nerwowo-mięśniowego w zwiększaniu zakresu ruchu stawu ramiennego. Doniesienie wstępne
[b]Wstęp. [/b]Zespół cieśni podbarkowej jest chorobą obręczy barkowej ograniczającą codzienną sprawność ruchową. Warto poszukiwać szybkich i skutecznych możliwości leczenia. Celem pracy była ocena wpływu jednorazowej ter...
Zastosowanie synowektomii izotopowej w leczeniu przewlekłego, wysiękowego zapalenia stawów
Wstęp. Synowektomia izotopowa (radiosynowiorteza) jest istotną metodą skutecznego miejscowego leczenia przewlekłych stanów zapalnych stawów. Jest alternatywą dla synowektomii chirurgicznej. Synowektomia izotopowa prowadz...