Symptomatic flatfoot in cerebral palsy.
| Autor: | Lenhart RL; Nemours Children's Hospital, Wilmington, Delaware, USA., Goodbody CM; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Current opinion in pediatrics [Curr Opin Pediatr] 2024 Feb 01; Vol. 36 (1), pp. 98-104. Date of Electronic Publication: 2023 Oct 20. |
| DOI: | 10.1097/MOP.0000000000001300 |
| Abstrakt: | Purpose of Review: The purpose of this review is to evaluate the current literature and best practices in the evaluation and treatment of symptomatic flatfoot in cerebral palsy. Recent Findings: While techniques to reconstruct the neuromuscular flatfoot and reestablish bony levers have remained similar over time, the concept of surgical dosing has helped guide appropriate interventions based on the magnitude of disease and functional level of the child. Moreover, the utilization of multisegment foot modeling in motion analysis has allowed quantitative description of such deformities and their impact on gait. Summary: Future research should focus on refining operative indications and interventions with larger, multicenter, prospective cohorts to provide more robust evidence in surgical decision making. Long-term data are needed to confirm and compare efficacy of procedures. Radiographic data alone are not sufficient for describing functional foot position. Gait analysis with foot modeling and pedobarography along with patient-centered subjective outcomes will be needed in such investigations to make conclusive recommendations. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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