Journals / Medicine Science / 2022 / Cilt: 11 - Sayı: 1

Treatment of planovalgus foot in cerebral palsy with lateral column lengthening using titanium cubic cage

Pages
274–279
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Our results show that TCC provides significant correction and stable fixation and reduced complication rates compared in CP.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:High complication rates were reported with the graft usage when performing lateral column lengthening in cerebral palsy patients.
📊
Key Findings & Data:Used in 86 feet of 55 patients.
💡
Conclusion & Impact:Our results show that TCC provides significant correction and stable fixation and reduced complication rates compared in CP.
🔬Design:Lab & Field Experiment
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

High complication rates were reported with the graft usage when performing lateral column lengthening in cerebral palsy patients. In order to overcome such technical difficulties, we designed a titanium cubic cage and the purpose of this study was to describe this new fixation method and report results after calcaneal lengthening osteotomy using this new implant. Used in 86 feet of 55 patients. Average patient age was 11.6 years, and mean follow-up was 42.6 months. Clinical examination was performed preoperatively and in follow-up. In the anteroposterior radiographs, the talonavicular coverage and the talus-first metatarsal angles and in the lateral radiographs, the talocalcaneal and the talus-first metatarsal angles were measured. Forefoot abduction improvement and medial longitudinal arch was successfully reestablishment were detected in almost all of the patients. All patients showed significant improvement in mean talonavicular coverage, anterior talus-first metatarsal, lateral talocalcaneal, and lateral talus-first metatarsal angles. Our results show that TCC provides significant correction and stable fixation and reduced complication rates compared in CP.

🔖

Cite This Article

ERDAL, O. A., GÖRGÜN, B., SARIKAYA, İ. A., ŞEKER, A., İNCESU, M., İNAN, M. (2022). Treatment of planovalgus foot in cerebral palsy with lateral column lengthening using titanium cubic cage. Medicine Science, Cilt: 11 - Sayı: 1, 274–279. https://ajindex.com/articles/418452

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Bennet GC, Rang M, Jones D. Varus and valgus deformities of the foot in cerebral palsy. Dev Med Child Neurol. 1982:499–503. 2. Evans D. Calcaneo-valgus deformity. J Bone Joint Surg Br. 1975:70–8. 3. Yoo WJ, Chung CY, Choi IH, et al. Calcaneal lengthening for the planovalgus foot deformity in children with cerebral palsy. J Pediatr Orthop. 2005:781–85. 4. Andreacchio A, Orellana CA, Miller F, et al. Lateral column lengthening as treatment for planovalgus foot deformity in ambulatory children with spastic cerebral palsy. J Pediatr Orthop. 2000:501–5. 5. Danko AM, Allen B Jr, Pugh L, et al. Early graft failure in lateral column lengthening. J Pediatr Orthop. 2004:716–20. 6. Templin D, Jones K, Weiner DS. The incorporation of allogeneic and autogenous bone graft in healing of lateral column lengthening of the calcaneus. J Foot Ankle Surg. 2008:283–7. 7. Abel MF, Juhl GA, Vaughan CL, et al. Gait assessment of fixed anklefoot orthoses in children with spastic diplegia. Arch Phys Med Rehabil. 1998:126–33. 8. Nather A, Fulford GE, Stewart K. Treatment of valgus hindfoot in cerebral palsy by peroneus brevis lengthening. Dev Med Child Neurol 1984:335–40 9. Sands AK, Tansey JP. Lateral column lengthening. Foot Ankle Clin. 2007:301–8. 10. De Orio JK. Axial screw fixation in lateral column lengthening of the calcaneus. Techniques in Foot & Ankle Surgery. 2004:226–30. 11. Dimitriou R, Mataliotakis GI, Angoules AG, et al. Complications following autologous bone graft harvesting from the iliac crest and using the RIA: A systematic review. Injury. 2011:3–15. 12. Ahlmann E, Patzakis M, Roidis N, et al. Comparison of anterior and posterior iliac crest bone graft in terms of harvest-site morbidity and functional outcomes. J Bone Joint Surg Am. 2002:716–20. 13. Mosca VS. Calcaneal lengthening for valgus deformity of the hindfoot. Results in children who had severe, symptomatic flatfoot and skewfoot. J Bone Joint Surg Am. 77:500–12. 14. Davitt JS, MacWilliams BA, Armstrong PF. Plantar pressure and radiographic changes after distal calcaneal lengthening in children and adolescents. J Pediatr Orthop. 2001:70–5. 15. Chi TD, Toolan BC, Sangeorzan BJ, et al. The lateral column lengthening and medial column stabilization procedures. Clin Orthop Relat Res. 1999:81–90. 16. Hintermann B, Valderrabano V, Kundert HP. Lengthening of the lateral column and reconstruction of the medial soft tissue for treatment of acquired flatfoot deformity associated with insufficiency of the posterior tib