The effect of plantar flexor lengthening on foot pressure in ambulatory children with cerebral palsy

被引：2

作者：

Abousamra, Oussama ^{[1
]}

Schwartz, Joshua ^{[1
]}

Church, Chris ^{[1
]}

Lennon, Nancy ^{[1
]}

Henley, John ^{[1
]}

Niiler, Tim ^{[1
]}

Miller, Freeman ^{[1
]}

机构：

[1] Nemours Alfred I duPont Hosp Children, Dept Orthoped, 1600 Rockland Rd, Wilmington, DE 19803 USA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2018年 / 27卷 / 03期

关键词：

cerebral palsy; foot pressure; plantar flexor lengthening; GROSS MOTOR FUNCTION; TERM-FOLLOW-UP; TIBIALIS POSTERIOR; SPASTIC DIPLEGIA; EQUINOVARUS FOOT; TENDON TRANSFER; EQUINUS GAIT; DEFORMITIES; SURGERY; GASTROCNEMIUS;

D O I：

10.1097/BPB.0000000000000501

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study aimed to assess the effects of plantar flexor lengthening (PFL) on dynamic foot pressures of children with cerebral palsy using pedobarographs. Of 97 enrolled, 13 children with 18 legs had PFL. Age at surgery was 4.7 (2.8-8.8) years. A significant increase in ankle dorsiflexion and heel impulse was achieved postoperatively and was maintained at 5 years. The coronal plane pressure index increased postoperatively, but reverted to preoperative levels at the 5-year follow-up. Children tend to have more valgus after PFL. In young children, there caution should be exercised to avoid over treating varus at the time of equinus correction to avoid overcorrection.

引用

页码：200 / 205

页数：6

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