Treatment of Calcaneovalgus Deformity Following Operative Treatment of Diplegic Equinovarus Deformity in Cerebral Palsy Patient (A Case Report)

뇌성마비로 인한 양측성 첨내반족 변형의 수술적 치료 후 발생한 종외반족 변형의 치료(1예 보고)

  • Kim, Yu-Mi (Department of Orthopedic Surgery, Sanbon Hospital, Wonkwang University College of Medicine) ;
  • Lee, Woo-Chun (Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Chung, Ung-Seo (Department of Orthopedic Surgery, Sanbon Hospital, Wonkwang University College of Medicine)
  • 김유미 (원광대학교 산본병원 정형외과학교실) ;
  • 이우천 (인제대학교 서울백병원 정형외과학교실) ;
  • 정웅서 (원광대학교 산본병원 정형외과학교실)
  • Published : 2009.12.15

Abstract

Calcaneal or calcaneovalgus deformity can occur after surgical treatment of equinus or eguinovarus deformity in cerebral palsy patient. It is a serious complication and the results of many conservative and operative treatments are reported unsatisfactory. We experienced one case of both calcaneovalgus deformity following operative treatment of diplegic equinovarus deformity in a spastic cerebral palsy patient and report about the result of the treatment.

Keywords

References

  1. Baddar A, Granata K, Damiano DL, Carmines DV, Blanco JS and Abel MF: Ankle and knee coupling in patients with spastic diplegia: effects of gastrocnemius soleus lengthening. J Bone Joint Surg Am, 84: 736-744, 2002.
  2. Chung CY: Cerebral palsy. In: Suk SI ed. Orthopaedics. 6th ed. Seoul, Newest medical publishing comp: 365-382, 2006.
  3. Chung CY: Cerebral palsy. In: Lee DY, Choi IH, Chung CY ed. Synopsis of pediatric orthopaedics. 1st ed. Seoul, Newest medical publishing comp: 307-325, 1996.
  4. Delune R: Congenital and acquired neurologic disorders. In: Coughlin MJ, Mann RA, Saltzmann CL ed. Surgery of foot and ankle. 8th ed. Philadelphia, Mosby & Elsevier Inc: 1761-1805, 2007.
  5. Drvaric DM: Cerebral palsy. In: Myerson MS ed. Foot and ankle disorders. 1st ed. Philadelphia, W.B. Saunders Co: 658-671, 2000.
  6. Gage JR: The treatment of gait problems in cerebral palsy, London, Mac Keith press, 2004.
  7. Gage JR, Fabian D, Hicks R and Tashman S: Pre- and postoperative gait analysis in patients with spastic diplegia: a preliminary report. J Pediatr Orthop, 4: 715-725, 1984. https://doi.org/10.1097/01241398-198411000-00012
  8. Gage JR and Novacheck TF: An update on the treatment of gait problems in cerebral palsy. J Pediatr Orthop, 10: 265-274, 2001. https://doi.org/10.1097/00009957-200110000-00001
  9. Rodda JM, Graham HK, Nattrass GR, Galea MP, Baker R and Wolfe R: Correction of severe crouch gait in patients with spastic diplegia with use of multilevel orthopaedic surgery. J Bone Joint Surg Am, 88: 2653-2664, 2006. https://doi.org/10.2106/JBJS.E.00993
  10. Sawyer JR: Cerebral palsy. In: Canale ST & Beaty JH ed. Campbell’s operative orthopaedics. 11th ed. Philadelphia, Mosby & Elsevier Inc: 1333-1399, 2008.