- Combined treatment of pronation foot deformities in children with cerebral palsy
Combined treatment of pronation foot deformities in children with cerebral palsy
Paediatric Surgery.2017.3(56):109-113; doi 10.15574/PS.2017.56.109
Abdalbari J., Danylov O. A., Gorelik V. V.
Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
Pronation foot deformity is a serious complication in 57.7% – 85.3% cases of cerebral palsy. Until now, the treatment algorithm of this pathology depending on the type of clinical treatment, degree of deformity and age of the patient has not been determined.
Objective: to determine the treatment algorithm in management of the various clinical course types of pronation foot deformities in children with cerebral palsy.
Material and methods. The treatment of pronation foot deformities in 45 children aged 5 to 16 years with cerebral palsy was analyzed: 18 patients were with the 1st type of deformation, 16 – the second type and 11 – the third type. Clinical and X-ray diagnostic methods were used. A combination of conservative and surgical treatment was used.
Results. Surgical treatment included restoration of the heel and talus bones by elongation or shortening of tendon and aponeurosis of the triceps muscles, transplantation of tendons, subtalar arthroereisis or arthrodesis, and three-articular arthrodesis. The study of the treatment outcomes during two years of follow-up after the operation showed good results with the 1st foot deformation type in 88.9%, excellent with the II–III types and good results in the rest cases.
Key words: pronation foot deformation, cerebral palsy, surgical treatment.
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