PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Comparison of mid-term efficacy of spastic flatfoot in ambulant children with cerebral palsy by 2 different methods.

Abstract To compare the treatment efficacy of spastic flatfoot surgery by 2 different surgical methods: nonfusion subtalar arthroereisis using subtalar joint stabilizer (SJS) and Dennyson-Fulford subtalar arthrodesis (D-FSA).A total of 26 cases of ambulant children with cerebral palsy diagnosed as spastic flatfoot were surgically treated from January 2011 to December 2014. Preoperative and postoperative American Orthopedic Foot and Ankle Society-Ankle and Hindfoot (AOFAS-AH) scores, anteroposterior-talocalcaneal angles (ATAs), and lateral talar-first metatarsal angles (Meary angles) of the affected foot were recorded.Among 12 children in the SJS group, the AOFAS-AH scores were median preoperative score of 61 (58-64) versus median postoperative score of 83 (75-92), with significant difference (P < .05). Of the 20 feet treated, only 1 foot developed occasional pain. Postoperative ATA was decreased from preoperative 35° (20°-50°) to 19° (12°-25°); lateral X-ray films showed that the Meary angle was decreased from preoperative 20° (15°-40°) to postoperative 0° (0°-3°). The differences in both findings were statistically significant (P < .05). Fourteen children (22 treated feet) formed the D-FSA group; all demonstrated fusion of the talocalcaneal joint; AOFAS-AH scores were median preoperative score of 61 (58-64) versus median postoperative score of 83 (75-92), with significant difference (P < .05). Only 1 foot had occasional pain. Postoperative ATA was decreased from preoperative 35° (20°-45°) to 16° (12°-25°); lateral X-ray films showed that the Meary angle was decreased from preoperative 19° (10°-40°) to postoperative 2° (0°-5°); the differences in both findings were statistically significant (P < .05).Both nonfusion subtalar arthroereisis using SJS and D-FSA were effective for the surgical treatment of spastic flatfoot, with similar clinical outcomes.
PMID
Related Publications

Calcaneal Z Lengthening Osteotomy Combined With Subtalar Arthroereisis for Severe Adolescent Flexible Flatfoot Reconstruction.

Subtalar arthrodesis with flexor digitorum longus transfer and spring ligament repair for treatment of posterior tibial tendon insufficiency.

Surgical technique: Medial column arthrodesis in rigid spastic planovalgus feet.

Extraarticular subtalar arthrodesis for pes planovalgus: an interim result of 50 feet in patients with spastic diplegia.

Therapeutic Outcomes of Kalix II in Treating Juvenile Flexible Flatfoot.

Authors

Mayor MeshTerms

Arthrodesis

Keywords
Journal Title medicine
Publication Year Start




PMID- 28562561
OWN - NLM
STAT- MEDLINE
DA  - 20170531
DCOM- 20170630
LR  - 20170630
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 22
DP  - 2017 Jun
TI  - Comparison of mid-term efficacy of spastic flatfoot in ambulant children with
      cerebral palsy by 2 different methods.
PG  - e7044
LID - 10.1097/MD.0000000000007044 [doi]
AB  - To compare the treatment efficacy of spastic flatfoot surgery by 2 different
      surgical methods: nonfusion subtalar arthroereisis using subtalar joint
      stabilizer (SJS) and Dennyson-Fulford subtalar arthrodesis (D-FSA).A total of 26 
      cases of ambulant children with cerebral palsy diagnosed as spastic flatfoot were
      surgically treated from January 2011 to December 2014. Preoperative and
      postoperative American Orthopedic Foot and Ankle Society-Ankle and Hindfoot
      (AOFAS-AH) scores, anteroposterior-talocalcaneal angles (ATAs), and lateral
      talar-first metatarsal angles (Meary angles) of the affected foot were
      recorded.Among 12 children in the SJS group, the AOFAS-AH scores were median
      preoperative score of 61 (58-64) versus median postoperative score of 83 (75-92),
      with significant difference (P &lt; .05). Of the 20 feet treated, only 1 foot
      developed occasional pain. Postoperative ATA was decreased from preoperative 35
      degrees (20 degrees -50 degrees ) to 19 degrees (12 degrees -25 degrees );
      lateral X-ray films showed that the Meary angle was decreased from preoperative
      20 degrees (15 degrees -40 degrees ) to postoperative 0 degrees (0 degrees -3
      degrees ). The differences in both findings were statistically significant (P &lt;
      .05). Fourteen children (22 treated feet) formed the D-FSA group; all
      demonstrated fusion of the talocalcaneal joint; AOFAS-AH scores were median
      preoperative score of 61 (58-64) versus median postoperative score of 83 (75-92),
      with significant difference (P &lt; .05). Only 1 foot had occasional pain.
      Postoperative ATA was decreased from preoperative 35 degrees (20 degrees -45
      degrees ) to 16 degrees (12 degrees -25 degrees ); lateral X-ray films showed
      that the Meary angle was decreased from preoperative 19 degrees (10 degrees -40
      degrees ) to postoperative 2 degrees (0 degrees -5 degrees ); the differences in 
      both findings were statistically significant (P &lt; .05).Both nonfusion subtalar
      arthroereisis using SJS and D-FSA were effective for the surgical treatment of
      spastic flatfoot, with similar clinical outcomes.
FAU - Wen, Jie
AU  - Wen J
AD  - Department of Pediatric Orthopedics, Hunan Provincial People's Hospital,
      Changsha,Hunan, China.
FAU - Liu, Hong
AU  - Liu H
FAU - Xiao, Sheng
AU  - Xiao S
FAU - Li, Xin
AU  - Li X
FAU - Fang, Ke
AU  - Fang K
FAU - Zeng, Ming
AU  - Zeng M
FAU - Tang, Zhongwen
AU  - Tang Z
FAU - Cao, Shu
AU  - Cao S
FAU - Li, Fanling
AU  - Li F
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - *Arthrodesis
MH  - Cerebral Palsy/*complications/diagnostic imaging/physiopathology/surgery
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Flatfoot/complications/diagnostic imaging/physiopathology/*surgery
MH  - Follow-Up Studies
MH  - Foot/pathology/surgery
MH  - Humans
MH  - Male
MH  - Muscle Spasticity/complications/diagnostic imaging/physiopathology/*surgery
MH  - Severity of Illness Index
MH  - Treatment Outcome
PMC - PMC5459726
EDAT- 2017/06/01 06:00
MHDA- 2017/07/01 06:00
CRDT- 2017/06/01 06:00
AID - 10.1097/MD.0000000000007044 [doi]
AID - 00005792-201706020-00037 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jun;96(22):e7044. doi: 10.1097/MD.0000000000007044.