Τομέας ΧειρουργικήςLibrary of the School of Health Sciences
Παναγιώτης Ν Σουκάκος (επιβλέπων), Αναστάσιος Δ Κανελλόπουλος, Παναγιώτης Ι Παπαγγελόπουλος.
Συγκριτική μελέτη των επεμβάσεων εξωαρθρικής αρθρόδεσης του ταρσού και οστεοτομίας επιμήκυνσης πτέρνης σε παιδιά με σπαστική βλαισοπλατυποδία επί εδάφους εγκεφαλικής παράλυσης.
Objective: The purpose of our study is to evaluate the results of two valid
techniques, extra-articular subtalar arthrodesis (Grice-Green) and calcaneal
lengthening osteotomy, used for the treatment of patients with spastic pes
deformity and cerebral palsy.
Material and Method: Our material consists of two groups of patients with
pes planovalgus deformity and cerebral palsy who underwent extra-articular
arthrodesis, eleven children (16 feet), and calcaneal lengthening osteotomy, ten
children (16 feet). These patients were chosen to match in the type of spastic
and age. The results of their procedures were reviewed retrospectively. In
evaluate the surgical outcome of the two procedures we compared seven
parameters of each patient before surgery, after surgery and at the latest
order to evaluate the changes in functional ability we used Gross Motor Function
Classification System, preoperatively and at the latest follow-up.
Results: The analysis for the anteroposterior talus-first metatarsal angle,
anteroposterior talocalcaneal angle, lateral talocalcaneal angle, Meary angle,
naviculocuboid overlap and talonavicular coverage angle revealed a statistically
significant difference between groups (p<0.05) with calcaneal lengthening
ranking lower than extra-articular subtalar arthrodesis (Grice-Green). The
the calcaneal pitch angle revealed a statistically significant difference
(p=0.003) with extra-articular subtalar arthrodesis (Grice-Green) ranking lower
calcaneal lengthening osteotomy. The analysis for functional ability did not
statistically significant differences between groups (p>0.05).
Conclusions: Despite the obvious anatomical and biomechanical advantages of
calcaneal lengthening osteotomy, the extra-articular subtalar arthrodesis
Green) may be indicated in carefully selected patients with lower functional
(non ambulators or household ambulators).
Spastic pes planovalgus deformity, Cerebral palsy, Extra-articular subtalar arthrodesis, Calcaneal lengthening osteotomy
Number of references:
Number of pages:
File access is restricted only to the intranet of UoA.