Can Persistent Drop Foot After Calf Muscle Lengthening Be Predicted Preoperatively?

Lofterød, Bjørn; Fosdahl, Merete Aarsland; Terjesen, Terje

doi:10.1053/j.jfas.2009.07.001

Cited by 12 publications

(37 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sample sizes ranged from 10 to 134 patients. Definitions of equinus were reported in thirteen studies [10][11][12][14][15][16][17][18][19][20][21][22][23] with var-…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies [9,11,14,16,[20][21][22][23][24][25][26] specified the inclusion of fixed equinus, but not all used the widely used Silfverskiold test. Seventeen [9,11,12,14,16,[18][19][20]24,[27][28][29][30][31][32][33][34] studies specified the CP subtype as spastic CP. Thirty-three cohort studies and one Delphi consensus study of calf lengthening surgery for equinus were identified (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes ranged from 10 to 134 patients. Definitions of equinus were reported in thirteen studies [10][11][12][14][15][16][17][18][19][20][21][22][23] with various thresholds of sagittal ankle kinematics used. Eleven studies [9,11,14,16,[20][21][22][23][24][25][26] specified the inclusion of fixed equinus, but not all used the widely used Silfverskiold test.…”

Section: Resultsmentioning

confidence: 99%

“…Fourteen studies reported swing phase kinematics [4,9,10,12,14,18,21,[23][24][25][26]33,35,36]. All studies reported significant increases in maximum or mean swing phase ankle dorsiflexion.…”

Section: Swing Phase Dorsiflexionmentioning

confidence: 99%

“…Surgical treatment for equinus has been shown to improve ankle kinematics during stance phase in children with both unilateral spastic cerebral palsy (USCP) and bilateral spastic cerebral palsy (BSCP) [9][10][11]. However, deviations from typically developing children's gait patterns may persist during swing phase, with many patients expressing dissatisfaction because of persistent drop foot, which is appreciated as a limp [12]. Understanding pre-operative predictors for post-operative outcomes is crucial to improve treatment planning.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Three-Dimensional Gait Analysis in Children Undergoing Gastrocsoleus Lengthening for Equinus Secondary to Cerebral Palsy

Sclavos

Passmore

et al. 2021

Medicina

View full text Add to dashboard Cite

Background and Objectives: Equinus is the most common deformity in children with cerebral palsy, and surgical lengthening of the gastrocsoleus muscle-tendon unit is the most commonly performed operation for children with cerebral palsy. Treatment outcomes of orthopaedic surgery can be measured objectively with three-dimensional gait analysis. This study examined the quality of evidence for gastrocsoleus lengthening surgery based on objective measures. Materials and Methods: A search was performed with Medline, Embase and PubMed from 1990 to 25 August 2020 using the keywords “cerebral palsy”, “equinus”, “surgery” and “gait analysis”. Only studies of gastrocsoleus lengthening surgery using three-dimensional gait analysis were included, yielding 34 studies. Results: Fourteen studies reported swing phase kinematics and all studies reported a significant improvement. Rates of recurrent equinus and calcaneus were reported in 21 studies and varied widely based on follow-up period and surgical technique. Conclusions: Poor study quality and marked variability in study samples and interventions made comparison difficult. Future studies should consider prospective design, controls or comparison groups and more detailed breakdowns of outcomes by cerebral palsy subtype, sagittal gait pattern, and equinus type in order to allow more rigorous treatment recommendations to be made.

show abstract

“…Sample sizes ranged from 10 to 134 patients. Definitions of equinus were reported in thirteen studies [10][11][12][14][15][16][17][18][19][20][21][22][23] with var-…”

Section: Resultsmentioning

confidence: 99%