Cavus Foot in Cerebral Palsy

Foot & Ankle ◽  
1984 ◽  
Vol 4 (4) ◽  
pp. 185-187 ◽  
Author(s):  
Robert E. Eilert
Keyword(s):  
Cerebral Palsy ◽  
Soft Tissue ◽  
Soft Tissue Release ◽  
Spastic Cerebral Palsy ◽  
Triple Arthrodesis ◽  
Cavus Foot

In the child between 4 and 12 years of age presenting with cavus deformity associated with spastic cerebral palsy, symptomatic feet may be improved by soft tissue release of plantar structures followed by appropriate tendon lenthenings or transfers and good cast correction. It is more common for the deformity to present in teenage patients, however, with a more rigid foot usually complicated by some degree of varus and equinus. In these situations, triple arthrodesis is often necessary and is a predictable procedure for correction and stabilization of the deformity.

scholarly journals Soft tissue surgery as an initial treatment for hip displacement in spastic cerebral palsy

SICOT-J ◽  
2020 ◽  
Vol 6 ◽  
pp. 38
Author(s):  
Luiz Antônio Angelo da Silva ◽  
Patricia Maria de Moraes Barros Fucs
Keyword(s):  
Cerebral Palsy ◽  
Soft Tissue ◽  
Small Sample ◽  
Acetabular Index ◽  
Soft Tissue Release ◽  
Spastic Cerebral Palsy ◽  
Hip Displacement ◽  
Migration Percentage ◽  
Soft Tissue Surgery

Objective: To use the measurement of migration percentage (MP) to evaluate the long-term radiographic results of soft tissue surgery as the first treatment for hip displacement in spastic bilateral cerebral palsy. A secondary objective was to identify predictive factors of stability (i.e., less than 30% of MP in the long term), after surgical correction. Methods: In this longitudinal cohort study, we reviewed the electronic medical records and radiographs of all consecutive patients with cerebral palsy operated for the correction of hip displacement between 1984 and 2013 in a referral orthopedic public hospital in Brazil. Patients were included if they had received, as the first surgical procedure, soft-tissue release. All surgeries were bilateral and symmetrical. We used the available radiographs to evaluate the migration percentage (MP), acetabular index (AI), pelvic obliquity (PO) angle, head-shaft angle (HSA), congruence and femoral head sphericity, and function using the GMFCS (Gross Motor Function Classification System). Results: we included 93 patients, all operated before being 12 years old, with follow-up of 10 years in average, 73 (78%) of them with good results (MP < 30%). We found association between preoperative MP ≤ 40%, AI ≤ 25°, and postoperative symmetry with good results, with a cut-off value of 38% of MP and 27° of acetabular index being predictive. Discussion: The role of soft tissue releases remains controversial owing to small sample sizes, heterogeneity, variety range of ages, definitions used for outcome, and lack of statistical quality. Our results were better in combined tenotomies, in diparetic patients aged more than six years, and in patients with lower initial values of MP and AI. Radiographic variables had good correlation with each other and association with results, with cut-off values for MP and AI PRE.

scholarly journals Soft Tissue Release for Subluxation of the Hip in Children with Spastic Cerebral Palsy.

1997 ◽  
Vol 46 (1) ◽  
pp. 152-154
Author(s):  
Yuichiro Yazaki ◽  
Masaru Higo ◽  
Ken-ichi Nishimura
Keyword(s):  
Cerebral Palsy ◽  
Soft Tissue ◽  
Soft Tissue Release ◽  
Spastic Cerebral Palsy

scholarly journals Soft Tissue Release and Osteotomies in the Treatment of Patients with Spastic Diplegic Cerebral Palsy

2018 ◽  
Vol 24 (1) ◽  
pp. 80-83
Author(s):  
Ng Bobby Kin-Wah ◽  
Chau Wai-Wang ◽  
Hung Alec Lik-Hang ◽  
Lam Tsz-Ping ◽  
Cheng Jack Chun-Yiu
Keyword(s):  
Cerebral Palsy ◽  
Soft Tissue ◽  
Soft Tissue Release ◽  
Spastic Diplegia ◽  
Single Event ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Surgery Patient ◽  
Before And After ◽  
Mid Term Results

We aim to study the outcome of soft tissue releases by tendon elongations and osteotomies in fixed joint contractures by clinical examination and patient self-reported assessment on 20 patients (14 males and 6 females) with spastic diplegic cerebral palsy treated with single-event multilevel surgery (SEMLS) between 2000 and 2012. A questionnaire was used to collect information on problems encountered before and after surgery and decision on surgery. Comparing patients with Gross Motor Function Classification System class I/II, (N = 8), III (N = 8) and IV/V, patients of classes IV/V showed much slower mean recovery time than I/II group (14.00 vs. 4.38 months, p < 0.01). SEMLS in the treatment of patients with spastic diplegia had good mid-term results in most patients. The patients who had unfavourable outcomes are associated with mental retardation, general or local complications and previous selective dorsal rhizotomy surgery. Patient selection and good rehabilitations preoperation and postoperation provided the most favourable outcomes of SEMLS.

Soft-Tissue Release for Spastic Hip Subluxation in Cerebral Palsy

1997 ◽  
Vol 17 (5) ◽  
pp. 571-584 ◽  
Author(s):  
Freeman Miller ◽  
Rita Cardoso Dias ◽  
Kirk W. Dabney ◽  
Glenn E. Lipton ◽  
Mark Triana
Keyword(s):  
Cerebral Palsy ◽  
Soft Tissue ◽  
Soft Tissue Release

scholarly journals Soft-tissue release for hip subluxation and dislocation in cerebral palsy

2017 ◽  
Vol 12 (2) ◽  
pp. 120-125 ◽  
Author(s):  
Ryoko Takeuchi ◽  
Hirotaka Mutsuzaki ◽  
Yukiyo Shimizu ◽  
Yuki Mataki ◽  
Hiroshi Kamada
Keyword(s):  
Cerebral Palsy ◽  
Soft Tissue ◽  
Soft Tissue Release

scholarly journals Lower extremity soft tissue surgery in spastic cerebral palsy: experience from a government rehabilitation unit

2018 ◽  
Vol 4 (2) ◽  
pp. 214
Author(s):  
Adiveppa Hosangadi ◽  
Anand Varma ◽  
Surykanth Kalluraya
Keyword(s):  
Cerebral Palsy ◽  
Soft Tissue ◽  
Lower Limb ◽  
Operative Procedure ◽  
Lower Limbs ◽  
Spastic Cerebral Palsy ◽  
Functional Abilities ◽  
Rehabilitation Unit ◽  
Lower Limb Surgery ◽  
Soft Tissue Surgery

<p class="abstract"><strong>Background:</strong> <span>Spastic cerebral palsy (CP) remains the most common type of CP and may be managed surgically or non-surgically depending upon its severity. Recent advances have replaced single-level surgery by the concept of multilevel surgery where multiple levels of musculoskeletal pathology, in one/both lower limbs, are addressed during one operative procedure, requiring only one hospital admission and one period of rehabilitation. This study assessed the outcome of lower limb soft tissue surgery in children with spastic CP in a government rehabilitation unit and measured its feasibility with limited infrastructure facilities and patient compliance</span><span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> <span>The study comprised of 26 patients aged between 2-12 years. Physical examination and GMFCS scores were recorded and evaluation of sitting balance, standing balance and gait were done. Musculotendinous soft tissue lower limb surgery was performed at one or more levels unilaterally or bilaterally and the results were interpreted</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span>Complete or near complete correction of deformities were attained by all children postoperatively. Significant improvements were noted in the gross motor functional classification system (GMFCS) scores. All parents and children were satisfied with the surgical outcome and reported improvement in functional abilities and locomotion in the follow-up along with better quality of life and mobility</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span>Lower limb soft tissue surgery is a valuable aid in improving functional abilities and locomotion in children with spastic CP. Surgery should be undertaken depending upon clinical indications and can be successfully carried out in government hospitals with ordinary infrastructure in developing countries as well</span><span lang="EN-IN">.</span></p>

scholarly journals Our Approach to the Spastic Hip Subluxation and Dislocation in Children with Cerebral Palsy

2006 ◽  
Vol 49 (4) ◽  
pp. 215-218 ◽  
Author(s):  
Pavel Šponer ◽  
David Pellar ◽  
Tomáš Kučera ◽  
Karel Karpaš
Keyword(s):  
Cerebral Palsy ◽  
Soft Tissue ◽  
Range Of Motion ◽  
Reconstructive Surgery ◽  
Palliative Surgery ◽  
Personal Hygiene ◽  
Soft Tissue Release ◽  
Optimal Time ◽  
Fair Result ◽  
Children With Cerebral Palsy

The purpose of this study was to evaluate the effectiveness of our approach to the spastic hip subluxation and dislocation in children with cerebral palsy. We evaluated 56 hips in our consecutive patients who had been operated on at our department between January 2003 and December 2005. There were done soft-tissue release procedures in 42 hips, osseous reconstructive surgery in 11 hips and osseous palliative surgery in 3 hips. The duration of follow-ups was 1–3 years after surgery. We achieved good result in 15 hips after soft-tissue release, fifteen hips had a fair result, nine a poor result and three a failure. No redislocation was observed after osseous surgery in our patients. Two patients observed no pain after osseous palliative surgery, transient pain in the hip was in one case. In all hips the range of motion (abduction) was increased. The personal hygiene and possibilities of rehabilitation were improved. Childhood is the optimal time to intervene to maximize the function of the patient with cerebral palsy. The musculoskeletal treatment of the child prevents future problems with pain and deformity.

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