The Long-Term Results of the Surgical Management of Paralytic Pes Cavus by Soft Tissue Release and Tendon Transfer

Shanahan, M. D. G.; Douglas, D. L.; Sharrard, W. J. W.; Duckworth, T.; Betts, R. P.

doi:10.1055/s-2008-1059765

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Orthopaedic method [14][15][16] is useful in the treatment of various deformities occur in these spinal bifida patients and help to improve the functional quality of life. In addition to tendon release and bony osteotomy, external fixation has obvious advantages over other fixation methods like plaster, brace, and internal fixation.…”

Section: Discussionmentioning

confidence: 99%

The treatment of neurotrophic foot and ankle deformity of spinal bifida: 248 cases in single center

Zang

Qin

Vigneshwaran³

et al. 2019

Journal of Neurorestoratology

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Objective:To evaluate the functional outcome of foot and ankle deformity secondary to spinal bifida treated by various methods.Methods:A retrospective analysis of 248 patients with foot and ankle deformity secondary to spina bifida with an average age of 25.5 years and underwent surgical treatment in our hospital from March 2012 to April 2016. The deformity correction was achieved by various methods like soft tissue procedure, bony procedure combined with external fixator application. All the patients were followed up at regular interval. Post operative rehabilitation and protective splints were provided after fixator removal. The final outcome was evaluated with American Orthopedic Foot and Ankle Society (AOFAS) score and Qin’s criteria for deformity correction, matched T-test was used to compare the data pre and post surgery.Results:According to the short term follow up, all these patients were achieved complete correction and able to achieve full weight bearing. Out of 248 patients, 13 patients were lost follow up. 235 patients were followed up for an average of 28.5 months. We noted various minor complications like superficial pin tract infection was seen in 5, pin breakage in 4, pin tract burn injury in 1, and recurrence of deformity was noted in 20 patients especially in children, anterior dislocation of the tibiotalar joint in 3 patients with severe clubfoot deformity. At the final follow up, the mean AOFAS score increased to 88.7, with a significant improvement compared with the score before surgery (P < 0.05). Based on Qin’s criteria for deformity correction, the outcome was graded as excellent in 180 patients, good in 55, and fair in none of the cases.Conclusion:Through orthopaedic treatment, combination of soft tissue and bony procedures along with external fixator helps to achieve complete correction of deformity, healing of ulcer, restoration of functional activity for spinal bifida sequelae patients.

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Section: Discussionmentioning

confidence: 99%

The treatment of neurotrophic foot and ankle deformity of spinal bifida: 248 cases in single center

Zang

Qin

Vigneshwaran³

et al. 2019

Journal of Neurorestoratology

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An Unusual Flexor Hallucis Longus Muscle

Gürbüz

Çavdar

Şehirli

1999

Okajimas Folia Anatomica Japonica

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During the dissection of the posterior compartment of the left leg, an unusual flexor hallucis longus muscle of a fifty two years-old male cadaver was observed.On the medial side of the flexor hallucis longus, on its lower distal half, a prominent aponeurotic structure was observed. A small unusual muscle mass was attached to this aponeurotic structure. The muscular fibres of the unusual mass were arranged in form of bipennate muscle. It originated via a broad tendon from the muscular fibres of the tibialis posterior and the deep transverse fascia covering the same muscle. It inserted on the aponeurosis of the lower medial half of the flexor hallucis longus muscle.Having in mind the very different pathology in the region of the ankle and the foot, the significance of such a musde mass could be of practical importance.

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The Long-Term Results of the Surgical Management of Paralytic Pes Cavus by Soft Tissue Release and Tendon Transfer

Cited by 2 publications

References 5 publications

The treatment of neurotrophic foot and ankle deformity of spinal bifida: 248 cases in single center

The treatment of neurotrophic foot and ankle deformity of spinal bifida: 248 cases in single center

An Unusual Flexor Hallucis Longus Muscle

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