Great toe metatarsophalangeal arthrodesis for hallux valgus deformity in ambulatory adolescents with spastic cerebral palsy
| Autor: | Sherif N. G. Bishay, Hatem M. Abdel-Rahman, Hany N. Iskandar, Mustafa H. El-Sherbini, Mohsen Mohammad El-Sayed, Ashraf A. Lotfy |
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| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
biology business.industry Forefoot Arthrodesis medicine.medical_treatment medicine.disease biology.organism_classification Cerebral palsy Surgery body regions Valgus Spastic cerebral palsy medicine.anatomical_structure Pediatrics Perinatology and Child Health Original Clinical Article Deformity medicine Orthopedics and Sports Medicine medicine.symptom Ankle business Valgus deformity |
| Zdroj: | Journal of Children's Orthopaedics. 3:47-52 |
| ISSN: | 1863-2548 1863-2521 |
| DOI: | 10.1007/s11832-008-0147-4 |
| Popis: | Background Hallux valgus deformity is a common sequel of spastic cerebral palsy. Methods Twenty ambulatory patients (24 feet) suffering hallux valgus deformity, with painful forefoot and restricted footwear, secondary to spastic cerebral palsy acquired perinatally, were treated with great toe metatarsophalangeal (MTP) arthrodesis using percutaneous K-wires for fixation. The mean age at the time of surgery was 16.2 years (range 14–18 years). They were retrospectively evaluated for the results after arthrodesis at a mean interval of 3 years and 4 months (range 3–4 years) by physical examination and radiographs. Results All patients had a stable painless aligned great toe, with Conclusion Hallux valgus deformity in adolescents with spastic cerebral palsy is best treated by great toe MTP arthrodesis to improve segmental foot malalignment and dynamic foot deviation. |
| Databáze: | OpenAIRE |
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