Duration of Immobilization After Percutaneous Sliding Heel-Cord Lengthening

Blasier, R. Dale; White, Rosalind R.

doi:10.1097/01241398-199805000-00005

Cited by 11 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Reviews of case histories published in recent years showed that correction of equinus is achieved in the majority of patients with surgical techniques [1,21,[55][56][57]. This is possible with a low rate of complications, brief periods of hospitalization, early kinesitherapy and rapid recovery of deambulation [3,8,18,20,23].…”

Section: Discussionmentioning

confidence: 99%

“…In the last ten years, there have been few reports on the surgical treatment of equinus deformity in children with cerebral palsy [1][2][3][4][5][6], compared to the numerous reports published during the preceding years . On the contrary, many studies have recently analyzed the therapeutic role and the outcomes obtained in nonoperative treatment of equinus deformity by orthoses, casts and botulinum toxin [28][29][30][31][32][33][34][35][36][37][38][39].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical treatment of equinus deformity in cerebral palsy by aponeurosis lengthening and Z-lengthening

Tirelli

Artiaco

Zanchini

2004

Journal of Orthopaedics and Traumatology

View full text Add to dashboard Cite

Surgical treatment of equinus deformity in cerebral palsy can be carried out successfully by Achilles tendon lengthening and gastrocnemius aponeurosis lengthening. From 1993 to 1998, we performed 59 operations in 37 cerebral palsied patients with equinus deformity using Z-lengthening in 30 cases and a modified Baker's procedure in 29 cases. The operations, associated with other hip and knee procedures in 65% of patients, were followed by postoperative use of casts and by a 12-month intensive kinesitherapeutic protocol. On preoperative evaluation, besides pattern deformity and the condition of proximal joints, we considered also age, clinical diagnosis, nature of tone and muscle strength. In most

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical treatment of equinus deformity in cerebral palsy by aponeurosis lengthening and Z-lengthening

Tirelli

Artiaco

Zanchini

2004

Journal of Orthopaedics and Traumatology

View full text Add to dashboard Cite

show abstract

“…Sehnen ist die kontrollierte Mobilisation aus dem geschalten Gips heraus erlaubt [3]. Nach Heilung der Muskeln bzw.…”

Section: Neuromuscular Foot Deformities · Soft Tissue Correctionsunclassified

Soft-tissue operations in neuromuscular foot deformities

Döderlein

1999

Orthopäde

View full text Add to dashboard Cite

The management of neuromuscular foot deformities in children and adolescents must be individualized because of differences in etiology and pathomechanics. If conservative treatment fails or reaches a plateau early soft tissue procedures are recommended. Treatment should focus not only at correction of the deformity but also at reestablishment of muscular balance. Early postoperative mobilisation is usually possible provided adequate orthotic control is maintained. Regular clinical follow-ups help to minimize postoperative problems. The general aim should be an optimization of functions and only rarely to achieve a normal foot. The basic principles of management can be described as correction of deformity, stabilization of unstable joints and balance of muscle power.

show abstract

“…Blaiser and White have reported that 3 weeks of immobilization after sliding lengthening may be sufficient [20], whereas some authors have suggested 4 weeks of short leg cast immobilization after Z-lengthening of the Achilles tendon [21]. Renshaw et al [22] have recommended 6 weeks of a short leg cast after triple-cut sliding lengthening.…”

Section: Introductionmentioning

confidence: 97%

“…The immobilization period after operation varies from 3 to 7 weeks to ensure healing before returning to full function or exercise [20]. Blaiser and White have reported that 3 weeks of immobilization after sliding lengthening may be sufficient [20], whereas some authors have suggested 4 weeks of short leg cast immobilization after Z-lengthening of the Achilles tendon [21].…”

Section: Introductionmentioning

confidence: 99%

Mesh Achilles tendon lengthening – a new method to treat equinus deformity in patients with spastic cerebral palsy

Lin

Lin²,

Huang³

et al. 2013

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

Equinus of the ankle is a common deformity in spastic cerebral palsy. Many methods have been developed to lengthen the Achilles tendon to correct the deformity. A new mesh Achilles tendon lengthening (ATL) procedure that might decrease immobilization and promote recovery was performed in 36 tendons with equinus deformity (22 patients, average age=6.2). The results were compared with those of two other methods: the Vulpius group and the Z-lengthening group. The corrected dorsiflexion angle of the ankle at a subsequent 2-year follow-up of the mesh ATL and Vulpius groups matched (25.5±3.0 and 27.1±3.5°, respectively), whereas that of the Z-lengthening group was higher (33.9±3.8°). Nevertheless, statistics of the timing of each patient's readiness to begin rehabilitation and walking as well as gaining better stability for running and one-legged hopping indicated that the mesh ATL group recovered significantly quicker than the Vulpius and Z-lengthening groups. The mesh ATL procedure achieves a successful correction of the equinus deformity in spastic cerebral palsy comparable with that of the Vulpius procedure, with the advantage of preserving the gastrocnemius without a complete section. This confers greater antigravity stability and quicker recovery in patients.

show abstract

Duration of Immobilization After Percutaneous Sliding Heel-Cord Lengthening

Cited by 11 publications

References 10 publications

Surgical treatment of equinus deformity in cerebral palsy by aponeurosis lengthening and Z-lengthening

Surgical treatment of equinus deformity in cerebral palsy by aponeurosis lengthening and Z-lengthening

Soft-tissue operations in neuromuscular foot deformities

Mesh Achilles tendon lengthening – a new method to treat equinus deformity in patients with spastic cerebral palsy

Contact Info

Product

Resources

About