51. Undercorrection of planovalgus deformity after calcaneal lengthening in patients with cerebral palsy
- Author
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In Hyeok Lee, Kyoung Min Lee, Hyun Woo Lim, Seung Jun Moon, Soon Sun Kwon, Jaeyoung Kim, Ki Hyuk Sung, Byung Chae Cho, Chin Youb Chung, and Moon Seok Park
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Radiography ,Cerebral palsy ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Deformity ,medicine ,Humans ,Orthopedics and Sports Medicine ,Child ,Retrospective Studies ,030222 orthopedics ,Foot Deformities, Acquired ,business.industry ,Cerebral Palsy ,Retrospective cohort study ,Gross Motor Function Classification System ,Odds ratio ,medicine.disease ,Confidence interval ,Surgery ,Calcaneus ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Female ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
Calcaneal lengthening (CL) is one of the treatment options for planovalgus deformity in patients with cerebral palsy (CP). However, its indication still needs to be clarified according to the functional status of CP. The aim of this study was to investigate the radiographic outcome after CL in patients with CP and to evaluate the risk factors causing undercorrection of planovalgus deformities. We included consecutive patients with CP who underwent CL for planovalgus deformity, were followed for more than 2 years, and had preoperative and postoperative weight-bearing anteroposterior (AP) and lateral foot radiographs. Six radiographic indices were used to assess the radiographic outcome. The patient age, sex, and Gross Motor Function Classification System (GMFCS) level were evaluated as possible risk factors, and we controlled for the interaction of potentially confounding variables using multivariate analysis. A total of 44 (77 feet) patients were included in this study. The mean age of the patients at the time of surgery was 10.5±4.0 years and the mean follow-up was 5.1±2.2 years. Patients with GMFCS III/IV achieved less correction than those with GMFCS I/II in the AP talus-first metatarsal angle (P=0.001), lateral talocalcaneal angle (P=0.028), and the lateral talus-first metatarsal angle (P
- Published
- 2018