RESULTS OF FOOT PLANOVALGUS DEFORMITY SURGICAL TREATMENT IN CHILDREN WITH CEREBRAL PARALYSIS

Authors:

Abstract:

Issues of treatment feet planovalgus deformity in children with cerebral palsy remain unresolved due to various structural, functional and biomechanical changes in the foot, as well as the complex pathogenesis of the disease formation. The purpose of the study was to present the results of retrospective analysis of surgical treatment of feet planovalgus deformity in children with cerebral palsy. Retrospective analysis was performed on case histories of 39 feet planovalgus deformity patients, with spastic type of cerebral palsy, who underwent surgical treatment in the period from 2002 to 2019. In Group 1, combined soft tissue interventions were used to correct feet planovalgus deformity, and in Group 2, in addition to the surgeries, interventions were performed aimed at correcting alignment in the joints of the hindfoot and midfoot. In Group 3, all children underwent combined surgery. Surgical treatment of feet planovalgus deformity in children with cerebral palsy aged 7-11 years, using techniques that are singularly aimed to correct contractures and tendon-muscle balance, is accompanied by a significant recurrence rate (66.7%). An algorithm for differentiated choice of methods for feet planovalgus deformity surgical treatment in children with cerebral palsy has been developed.

Keywords:

cerebral palsy planovalgus deformity of feet algorithm

References:

1. Kenis VM. Ortopedicheskoye lecheniye deformatsiy stop u detey s tserebralnym paralichom [dissertatsiya]. S–Peterburg; 2014. 48 s. [in Russian]
2. Korolkov AI, Rakhman PN, Kykosh HV, vynakhidnyky. DU “Instytut patolohiyi khrebta ta suhlobiv im. prof. M.I. Sytenka NAMNU”. Implantat dlya stabilizatsiyi pidnadpyatkovoho suhloba pry likuvanni plosko-valhusnoyi deformatsiyi stop. Patent Ukrayiny № 113131, 2017 sich. 10. [in Ukrainian]
3. Korolkov AI, Lyutkevich NI, Khashchuk AV. Kontseptualnyye podkhody k diagnostike i profilakticheskomu lecheniyu podvyvikha i vyvikha bedra u bolnykh s detskim tserebralnym paralichom. Ortopediya, travmatologiya i protezirovaniye. 2013; 3: 20-27. [in Russian]
4. Davids JR. The foot and ankle in cerebral palsy. Orthop Clin North Am. 2010; 41: 579–593.
5. Kadhim M, Holmes L, Church C. Pes planovalgus deformity surgical correction in ambulatory children with cerebral palsy. J Child Orthop. 2012; 6:217–227.
6. Kadhim M, Miller F. Crouch gait changes after planovalgus foot deformity correction in ambulatory children with cerebral palsy. Gait Posture. 2014; 39:793–798.
7. Kirby KA. Biomechanics and the treatment of flexible flatfoot deformity in children. PBG Focus, J. Podiatric Biomechanics Group. 1999; 7:10-11.
8. Miller F. Etiology, epidemiology, pathology, and diagnosis. New York: Springer; 2005. pp. 27–50.
9. Miller MD, Thompson SR, Hart J. Review of Orthopaedics. Elsevier Health Sciences; 2012. 896 p.
10. Mosca V. Flexible flatfoot in children and adolescents. J Child Orthop. 2010 Apr; 4(2): 107–121. Published online 2010 Feb 18. doi: 10.1007/s11832-010-0239-9
11. Murley GS, Menz HB, Landorf KB. A protocol for classifying normal- and flat-arched foot posture for research studies using clinical and radiographic measurements. J Foot Ankle Res. 2009 Jul 4; 2–22. doi: 10.1186/1757-1146-2-22.
12. Sees JP, Miller F. Overview of foot deformity management in children with cerebral palsy. J Child Orthop. 2013 Nov; 7(5): 373–377. Published online 2013 Sep 14. doi: 10.1007/s11832-013-0509-4
13. Siebe de Boer A, Roderik J, Tjioe C, Van der Sijde F. AOFAS hindfoot scale. BMJ Open. 2017; 7(8): e017040.

Publication:

«World of Medicine and Biology» Vol. 16 No. 74 (2020) , с. 130-135
УДК 617.586-02:616.831-009.11-053.2]-07-089.8(045)

DOI:

https://doi.org/10.26724/2079-8334-2020-4-74-130-135