Long-Term Outcome Evaluation in Young Adults Following Clubfoot Surgical Release

Graf, Adam; Hassani, Sahar; Krzak, Joseph J.; Long, Jason; Caudill, Angela; Flanagan, Ann; Eastwood, Daniel; Kuo, Ken N.; Harris, Gerald F.; Smith, Peter A.

doi:10.1097/bpo.0b013e3181d8fbd7

Cited by 51 publications

(38 citation statements)

References 33 publications

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“…Limitations are just seen in few cases most likely caused by severe stiffness of the foot. 17 On the lateral view radiographs, we investigated the appearance of a flat-top talus. This bony alteration is well reported in the literature and is regarded as a complication of casting particularly when attempting to achieve dorsiflexion and not having first done a heel cord lengthening.…”

Section: Resultsmentioning

confidence: 99%

Growth Disturbance of the Distal Tibia in Patients With Idiopathic Clubfeet: Ankle Valgus and Anteflexion of the Distal Tibia

Burghardt

Tettenborn²,

Stücker³

2016

Journal of Pediatric Orthopaedics

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Section: Resultsmentioning

confidence: 99%

Growth Disturbance of the Distal Tibia in Patients With Idiopathic Clubfeet: Ankle Valgus and Anteflexion of the Distal Tibia

Burghardt

Tettenborn²,

Stücker³

2016

Journal of Pediatric Orthopaedics

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“…Although only talocrural and subtalar motion is reported in the current study, the external marked based model is able to track motion proximal to the ankle. 12,13 Kinematic analysis was completed by using the International Society of Biomechanics (ISB) recommended Joint Coordinate Method, with motion being reported as distal segment movement with respect to proximal. 15 This kinematic model was additionally applied to the static lateral x-ray which defined neutral position.…”

Section: Methodsmentioning

confidence: 99%

Sagittal Subtalar and Talocrural Joint Assessment With Weight-Bearing Fluoroscopy During Barefoot Ambulation

et al. 2014

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Background: Identifying talar position during ambulation has proved difficult as the talus lacks palpable landmarks for skin marker placement and more invasive methodologies such as bone pins are not practical for most clinical subjects. A fluoroscopic motion system was used to track the talus and calcaneus, allowing kinematic analysis of the talocrural and subtalar joints. Methods: Thirteen male subjects (mean age 22.9 ± 3.0 yr) previously screened for normal gait were tested. A fluoroscopy unit was used to collect images at 120 fps during stance. Sagittal motion of the talocrural and subtalar joints were analyzed. Results: The inter-subject mean and standard deviation values for all 58 trials of 13 subjects are reported. Maximum talocrural joint plantarflexion of 11.2 degrees (4.3 degrees of standard deviation) occurred at 11% stance and maximum dorsiflexion of -6.9 degrees (5.6 degrees of standard deviation) occurred at 85%. Maximum subtalar joint plantarflexion of 4.8 degrees (1.0 degrees of standard deviation) occurred at 96% stance and maximum dorsiflexion of -3.6 degrees (2.3 degrees of standard deviation) occurred at 30%. Talocrural and subtalar range of motion values during stance were 18.1 and 8.4 degrees respectively. Conclusion: Existing fluoroscopic technology is capable of defining sagittal plane talocrural and subtalar motion during gait. These kinematic results compare favorably with more invasive techniques. This type of assessment could support more routine analysis of in vivo bony motion during gait. Clinical Relevance: Fluoroscopic technology offers improved sagittal plane motion evaluation during weightbearing with potential application in patients with end stage ankle arthritis, postoperative ankle replacements and fusions, and orthotics and braces.

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“…[1]The affected foot appears to have been rotated internally at the ankle. Without treatment, people with club feet often appear to walk on their ankles or on the sides of their feet.…”

Section: Introductionmentioning

confidence: 99%

Integrated monitoring application of patient progression: Clubfoot patient progression as case study

Al-Qerem

Madan

Quaider

et al. 2015

2015 2nd World Symposium on Web Applications and Networking (WSWAN)

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clubfoot is a complex deformity found in one in a thousand children. It frequently causes disability-either from the original deformity or because of secondary conditions and problems associated with treatment. Recently, many pedorthsis supporting orthotics deformity in a foot have been evolved. Unfortunately, such pedorthsis need patients to involve in many doctor visits. The advance in wearable technology gives clinicians the tools they need to provide the best possible care to their patients, In the past year, several wearable devices, apps, and other forms of mobile technology have emerged that aim to track your health and overall well-being. In this paper an integrated remote monitoring application called FARH for clubfoot patient progression will be proposed. Farah requires only a single lightweight chipset that can be integrated unobtrusively into a comfortable shoe without hindering daily-living activities. The key advantages of this system include the capability of being used in unconstrained environments, with different footwear conditions, and on different walking surfaces. Moreover, a real time analysis of data describing a certain patient case based on analysis of foot pressure distribution in conjunction with alarming system in case of mistaken walk is also provided. Monitoring progression through automatic collection and analysis of data over time periods will highly support both patients and doctor in charge. Extension to remotely monitor other trackable disease is also included.

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Long-Term Outcome Evaluation in Young Adults Following Clubfoot Surgical Release

Abstract: Level III.

Cited by 51 publications

References 33 publications

Growth Disturbance of the Distal Tibia in Patients With Idiopathic Clubfeet: Ankle Valgus and Anteflexion of the Distal Tibia

Growth Disturbance of the Distal Tibia in Patients With Idiopathic Clubfeet: Ankle Valgus and Anteflexion of the Distal Tibia

Sagittal Subtalar and Talocrural Joint Assessment With Weight-Bearing Fluoroscopy During Barefoot Ambulation

Integrated monitoring application of patient progression: Clubfoot patient progression as case study

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