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Talonavicular arthrodesis for the treatment of neurological flat foot deformity in pediatric patients: clinical and radiographic evaluation of 29 feet
- Source :
- Journal of Pediatric Orthopaedics, Vol. 31, No 5 (2011) pp. 557-63
- Publication Year :
- 2011
-
Abstract
- Patients with cerebral palsy, syndromes, myopathies, and other forms of neurological impairment can develop planovalgus foot deformity of variable degrees of severity. Several techniques have already been described to resolve the deformity with variable results. Talonavicular arthrodesis is a well-known technique in adult patients, but to our knowledge, it has not been described in children with neurological impairment.We performed a retrospective chart and radiographic review of 18 neurological patients (10 boys, 8 girls) with a mean age of 11.3 ± 2.6 years (range, 7 to 19 y) who underwent talonavicular arthrodesis for flat foot deformity between 1998 and 2009, at our center.Of a total of 29 feet, talonavicular arthrodesis was judged satisfactory in 28 feet, whereas 1 had unsatisfactory results according to the Yoo clinical outcome scoring scale. Subjective observations reported that 3 feet from 2 patients were painful preoperatively and none after last follow-up. Functionally, 2 of 13 patients were able to stop using braces after surgery. The significant improvement achieved postoperatively in radiographic measurement angles was maintained at last follow-up without any loss of angle correction.Talonavicular arthrodesis seems to achieve a reliable hind foot fixation in flat foot in patients with neurological impairment.Case series.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Arthrodesis
medicine.medical_treatment
Radiography
macromolecular substances
Cerebral palsy
Young Adult
medicine
Deformity
Humans
Orthopedics and Sports Medicine
Child
Foot deformity
Gait
Retrospective Studies
ddc:618
Flatfoot/etiology/radiography/surgery
ddc:617
business.industry
Cerebral Palsy/complications
Cerebral Palsy
Talonavicular arthrodesis
Arthrodesis/methods
General Medicine
medicine.disease
Flatfoot
Surgery
Treatment Outcome
Patient Satisfaction
Pediatrics, Perinatology and Child Health
Orthopedic surgery
Female
medicine.symptom
business
Gait/physiology
Neurological impairment
Follow-Up Studies
Subjects
Details
- ISSN :
- 15392570 and 02716798
- Volume :
- 31
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of pediatric orthopedics
- Accession number :
- edsair.doi.dedup.....7b4f5b09da8984bd760025920db54ecd