scholarly journals Physical treatment of foot deformities in childhood

2011 ◽  
Vol 58 (3) ◽  
pp. 113-116 ◽  
Author(s):  
Dragana Matanovic ◽  
Zoran Vukasinovic ◽  
Zorica Zivkovic ◽  
Dusko Spasovski ◽  
Zoran Bascarevic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Physical Therapy ◽  
Growth And Development ◽  
Club Foot ◽  
Specific Treatment ◽  
Pain Syndrome ◽  
Surgical Correction ◽  
Foot Deformities ◽  
Foot Deformity ◽  
Physical Treatment

During the period of development foot deformities can occur, not only during the growth and development, but also in the later age. The most frequent foot deformity is flatfoot, congenital club foot and hallux valgus. Prior to the decision on surgical treatment of the deformity, whenever possible the patient should be referred for physical therapy that may yield acceptable results in specific treatment phases. The basis of the treatment involves kinesitherapy, application of certain agents (thermotherapy, electrotherapy, ultrasound) and orthosis for maintaining corrections. If such therapy does not yield satisfactory results, the deformity is surgically corrected. After surgical correction, physical procedures can contribute to more rapid recovery and decrease possible complications (pain, edema, complex regional pain syndrome - Mb Sudec), which can follow the surgical correction of the deformity. In addition, the obligatory form of rehabilitation also involves kinesitherapy.

scholarly journals Congenital club foot

2010 ◽  
Vol 57 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Z.S. Vukasinovic ◽  
N.S. Slavkovic ◽  
Z.M. Zivkovic ◽  
V.D. Bascarevic
Keyword(s):  
Surgical Treatment ◽  
Club Foot ◽  
Soft Tissues ◽  
Plantar Flexion ◽  
Lateral Side ◽  
Foot Deformity ◽  
Congenital Clubfoot ◽  
Medial Side ◽  
Success Of Treatment ◽  
Bone Deformities

Congenital club foot is the most frequent foot deformity. It occurs in 1% of newborns, two times more frequently in boys, with family inheritance. Patoanatomicaly, entity consists of bone deformities, articular malpositions and soft tissues retraction. All these produce adduction of the forefoot and varus and equinovarus of the hindfoot. Lateral side of the foot is convex and medial side is concave. Forefoot is in adduction and plantar flexion in relation to the hindfoot. The heel is rotated medially which induces varus and eqinus of the foot. The aim of the treatment is to establish anatomically normal foot, painless, with moderate movements, which is suitable for normal shoes. At the beginning treatment is nonsurgical. If nonsurgical treatment fails further step should be surgical treatment. The success of treatment of congenital clubfoot depends on the time of diagnosis and treatment beginning.

Surgical treatment of severe posttraumatic foot deformity

2020 ◽  
Vol 26 (2) ◽  
pp. 119-124
Author(s):  
S. S. Leonchuk ◽  
G. M. Chibirov
Keyword(s):  
Surgical Treatment ◽  
Scale Score ◽  
Functional Condition ◽  
Pain Scale ◽  
Foot Deformities ◽  
Ilizarov Method ◽  
Foot Deformity ◽  
Ankle Motion ◽  
One Year ◽  
Original Frame

The surgical treatment of a 17-year-old patient with posttraumatic complex and rigid foot deformity by the transosseous osteosynthesis method by Ilizarov (original frame) is presented in the article. Previously, the patient incurred a fracture of the left tibia. He was treated by open reduction and internal fixation with a plate in the private clinic. Within four years, an equinovarus adductus foot deformity had developed. During our treatment, the deformity of the foot was eliminated without resection of the bones of this segment. After one year of treatment, the patient was satisfied with the functional condition of the foot, its cosmetic appearance, and the absence of pain in the foot. The American Orthopedic Foot and Ankle Society scale score increased significantly from 30 points preoperatively to 82 postoperatively, whereas the visual analog scale (VAS)-pain scale score decreased from 7 to 1. His ankle motion increased from 10 preoperatively to 29 postoperatively. This case demonstrates the possibilities of the Ilizarov method and our approach in the treatment of severe rigid foot deformities by the Ilizarov technique.

scholarly journals TARSAL COALITIONS IN CHILDREN WITH CEREBRAL PALSY: CLINICAL OBSERVATION AND TREATMENT STRATEGY

2014 ◽  
Vol 2 (1) ◽  
pp. 13-17
Author(s):  
Vladimir Markovich Kenis ◽  
Andrei Viktorovich Sapogovsky ◽  
Ruslan Khalilovich Husainov
Keyword(s):  
Computed Tomography ◽  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Clinical Observation ◽  
Foot Deformities ◽  
Foot Deformity ◽  
Tarsal Coalition ◽  
Children With Cerebral Palsy ◽  
Diagnostic Confusion

Tarsal coalition is a congenital anomaly of the foot, characterized by later appearance of the clinical and radiological signs, which become obvious in adolescents. Tarsal coalitions in children with cerebral palsy can lead to diagnostic confusion, as well as to complicate natural course of foot deformity and surgical treatment. The paper presents first experience with the systematized data for tarsal coalitions in children with cerebral palsy. Among 157 children operated for foot deformities this anomaly was identified in 4 patients (incidence - 2,5 % in our series). Clinical and radiological descriptions, surgical management, including complications, are presented for these cases, which demonstrate significance of tarsal coalitions for diagnostics, surgical management and prognosis. Information and caution, regarding tarsal coalitions in children with cerebral palsy, who undergo surgical treatment for foot deformities, as well as advanced methods of diagnostics (magnetic resonance and computed tomography), are required in order to avoid preventable complications.

scholarly journals Outcome of scoliotic deformity correction with Harrington distractor in adults

1996 ◽  
Vol 3 (1) ◽  
pp. 6-9
Author(s):  
I. Z. Neiman ◽  
N. N. Pavlenko ◽  
Yu. G. Sumin ◽  
A. Ye. Kriger
Keyword(s):  
Surgical Treatment ◽  
Deformity Correction ◽  
Pain Syndrome ◽  
Complete Loss ◽  
Surgical Correction ◽  
Long Term Results ◽  
Initial Value ◽  
Preoperative Pain ◽  
Scoliotic Deformity

The results of surgical treatment of 36 patients with scoliosis, aged 18-29, were presented. Correction by Harrington distractor and posterior spondylosyndesis with allografts was performed. The average deformity correction achieved made up 38,8% of the initial value. Long term results (from 2 to 9 years) were studied in 29 patients. In 2 patients, complete loss of the correction was noted. In the rest of patients, the final correction varied from 9,9 to 49%, average 25,7%, of the initial value. The less is the scoliosis degree and age of a patient, the better is outcome of surgical correction. The preoperative pain syndrome being present in 7 patients was eliminated after operation.

scholarly journals Focused Extracorporeal Shockwave Therapy in Physical Medicine and Rehabilitation

2020 ◽  
Author(s):  
Richard Crevenna ◽  
Michael Mickel ◽  
Othmar Schuhfried ◽  
Christina Gesslbauer ◽  
Andrej Zdravkovic ◽  
...  
Keyword(s):  
Pain Syndrome ◽  
Surrounding Tissue ◽  
Patellar Tendinopathy ◽  
Physical Medicine ◽  
Physical Treatment ◽  
Extracorporeal Shockwave Therapy ◽  
Non Union ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy ◽  
Physical Medicine And Rehabilitation

Abstract Purpose of Review Focused extracorporeal shockwave therapy (fESWT) is a physical treatment modality developed over the last 25 years for musculoskeletal indications. It has many indications in the field of physical medicine and rehabilitation (PM&R) and is effective, time-efficient, and cost-efficient. This review focuses on basics and on clinical indications as well as on significant trends in fESWT. Recent Findings In PM&R, stimulation of healing processes in tendons, surrounding tissue, and bones via mechanotransduction seems to be a relevant biological effect. The International Society for Medical Shockwave Treatment (ISMST) describes different types of indications (such as approved standard indications—in accordance with most scientific evidence—like calcifying tendinopathy of the shoulder, plantar fasciitis lateral epicondylopathy of the elbow, greater trochanter pain syndrome, patellar tendinopathy, Achilles tendinopathy and bone non-union, common empirically tested clinical uses, exceptional or expert indications, and experimental indications). Summary fESWT is a relevant treatment option in PM&R and regenerative medicine. In recent years, historical paradigms (for example, application in cancer patients) have changed and new indications (such as nerve regeneration, myofascial trapezius syndrome, low back pain, dermatosclerosis, and lymphedema) are supported. Future translational research should focus on establishing actual exceptional indications and experimental indications for clinical routine.

Early Surgical Correction of Unilateral Cleft Foot Deformity

Orthopedics ◽  
1990 ◽  
Vol 13 (3) ◽  
pp. 347-350
Author(s):  
Evan Kovalsky ◽  
Gad G Guttmann
Keyword(s):  
Surgical Correction ◽  
Foot Deformity ◽  
Cleft Foot

Partial wound closure after surgical correction of equinovarus foot deformity using a synthetic skin substitute

2006 ◽  
Vol 16 (4) ◽  
pp. 393-395
Author(s):  
Jonathan Phillips ◽  
Varatharaj Mounasamy ◽  
Kenneth S. Jeffers ◽  
Fiona Langlands ◽  
D. Raymond Knapp
Keyword(s):  
Wound Closure ◽  
Surgical Correction ◽  
Skin Substitute ◽  
Foot Deformity

scholarly journals Minimum Invasive Stabilizing and Decompressive-Stabilizing Methods of Surgical Treatment for Degenerative-Dystrophic Lesions of Spine

2011 ◽  
Vol 18 (4) ◽  
pp. 3-10
Author(s):  
A V Krut'ko ◽  
Shamil' Al'firovich Akhmet'yanov ◽  
D M Kozlov ◽  
A V Peleganchuk ◽  
A V Bulatov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
Early Postoperative Period ◽  
Main Group ◽  
Control Group ◽  
Surgical Interventions ◽  
Comparative Group ◽  
Operative Wound

Results of randomized prospective study with participation of 94 patients aged from 20 to 70 years with monosegmental lumbar spine lesions are presented. Minimum invasive surgical interventions were performed in 55 patients from the main group. Control group consisted of 39 patients in whom decompressive-stabilizing operations via conventional posteromedian approach with skeletization of posterior segments of vertebral column were performed. Average size of operative wound in open interventions more than 10 times exceeded that size in minimum invasive interventions and made up 484 ± 56 and 36 ± 12 sq.cm, respectively. Mean blood loss was 326.6 ± 278.0 ml in the main group and 855.1 ± 512.0 ml in the comparative one. In the main group no one patient required substitution hemotransfusion, while in 13 patients from the comparative group donor erythrocytic mass and/or fresh-frozen plasma were used to eliminate the deficit of blood components. Intensity of pain syndrome in the zone of surgical intervention by visual analog scale in the main group was lower than in comparative group. In the main and comparative groups the duration of hospitalization made up 6.1 ± 2.7 and 9.7 ± 3.7 bed days, respectively. In no one patient from the main group complications in the zone of operative wound were noted. Three patients from the comparative group required secondary debridement and in 1 patient early deep operative wound suppuration was observed. Application of low invasive surgical techniques for the treatment of patients with degenerative lumbar spine lesions enabled to perform radical surgical treatment with minimal iatrogenic injury. The method possessed indubitable advantages over the conventional open operations especially intraoperatively and in early postoperative period.

scholarly journals Congenital Talipes Equinovarus (CTEV)

e-CliniC ◽  
2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Richardo J. Laloan ◽  
Andreissanto C. Lengkong
Keyword(s):  
Surgical Treatment ◽  
Quantitative Measurement ◽  
Foot Deformities ◽  
Congenital Talipes Equinovarus ◽  
Talipes Equinovarus ◽  
Long Term Follow Up ◽  
Congenital Talipes ◽  
Non Surgical Treatment

Abstract: Congenital talipes equinovarus (CTEV) is a type of foot deformities characterized with hindfoot varus, adducted metatarsus, wide arched of the foot (cavus), and equinus. Its incidence is 1.2% per 1000 births annually. Around 80% of cases occur as idiopathic type and the remaining 20% is associated with other anomaly conditions. Genetic component is considered to play a role in the occurrence of CTEV. However, up to this day, there is no exact underlying etiology that defines the exact pathogenesis of CTEV. The evolving etiology nowadays is still multifactorial. Management of CTEV varies from non-surgical treatment to surgical treatment. A number of scoring and grading using qualitative and quantitative measurement are being used nowadays to assess the severity of CTEV because this deformity needs long-term follow-up due to its tendency to relapse.Keywords: congenital talipes equinovarus, clubfoot Abstrak: Congenital talipes equinovarus (CTEV), dikenal juga dengan true clubfoot, merupakan deformitas pada kaki yang ditandai oleh adanya bentuk varus kaki belakang, adduksi metatarsus, dan adanya bentuk lengkungan kaki yang lebar (cavus) serta equinus. CTEV merupakan salah satu dari deformitas kaki pada saat lahir dengan insidensi 1,2% per 1000 kelahiran hidup per tahunnya. Pada 80% kasus terjadi secara idiopatik dan 20% dikaitkan dengan kondisi-kondisi lain. Komponen genetik diduga berperan pada CTEV, namun, sampai saat ini, belum ada etiologi pasti yang menjelaskan patogenesis CTEV. Etiologi yang berkembang sampai saat ini bersifat multifaktorial. Tatalaksana pasien CTEV bervariasi mulai dari non-operatif maupun operatif. Sejumlah pengukuran kualitatif maupun kuantitatif telah dikembangkan untuk menilai keparahan CTEV berhubung kondisi deformitas ini membutuhkan follow-up jangka panjang karena mempunyai kecenderungan untuk relaps.Kata kunci: congenital talipes equinovarus, clubfoot

Sign in / Sign up

Export Citation Format

Share Document