Pedobarographic changes in Ponseti-treated clubfeet with and without anterior tibialis tendon transfer: changes due to growth and surgical intervention

被引:5
作者
Wallace, Juanita [1 ]
White, Hank [1 ]
Xi, Jing [2 ]
Kryscio, Richard [3 ]
Augsburger, Sam [1 ]
Milbrandt, Todd [1 ,4 ]
Talwalkar, Vishwas [1 ,4 ]
Iwinski, Henry [1 ,4 ]
Walker, Janet [1 ,4 ]
机构
[1] Univ Kentucky, Shriners Hosp Children, Lexington, KY USA
[2] Univ Kentucky, Dept Stat, Lexington, KY USA
[3] Univ Kentucky, Dept Stat & Biostat, Lexington, KY USA
[4] Univ Kentucky, Dept Orthopaed Surg, Lexington, KY USA
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2016年 / 25卷 / 02期
关键词
anterior tibialis tendon transfer; changes; clubfeet; pedobarography; surgery; NORMAL-PRESSURE VALUES; PLANTAR PRESSURES; IDIOPATHIC CLUBFOOT; FOLLOW-UP; CHILDREN; FOOT; REPEATABILITY; PATTERNS; SYSTEM;
D O I
10.1097/BPB.0000000000000258
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
The aim of this study was to identify significant changes in pedobarographic parameters attributed to growth versus growth and surgical intervention for uninvolved feet, clubfeet (CF) subjected to anterior tibialis tendon transfer surgery, and unilateral nonsurgical CF. Participants underwent foot-pressure analysis preoperatively and 3 years postoperatively. Six parameters related to the lateral midfoot showed increases for uninvolved and nonsurgical CF, whereas CF subjected to surgery decreased. Transferring the anterior tibialis tendon resulted in improvements beyond typical growth and in a more balanced foot postoperatively. These changes are not simply changes in the peak pressure, but changes in force/pressure over time in the lateral foot. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:89 / 95
页数:7
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