Abstract | OBJECTIVE: METHODS: From January 1990 and July 2009, 107 patients with ankle and foot deformities secondary to spina bifida were retrospectively analyzed. There were 44 males and 63 females, with an average age of 17.7 years (rangd from 1.3 to 52 years). Among the patients, 58 patients had double ankle deformities, 49 patients had unilateral deformities (22 cases on the left side, 27 cases on the right). Ninety-nine patients with equinus deformities were treated by achilles tendon lengthening and tendon transfering; 25 patients with talipes were treated by release of anterior tendon of ankle and tendon transfer; 17 patients with valgus and varus deformities were treated by tendon transfer and calcaneal osteotomy; 15 patients with flail deformities were managed treated by bone fusion between calcaneus and talus and shortening of achilles tendon; 9 patients with claw toe deformities were treated by bone fusion of interphalangeal joint or Ilizarovs distraction. AOFAS (American Orthopaedic Foot & Ankle Society) comprehensive scoring system was used to evaluate subjective pain and objective functional. RESULTS: Seventy-nine (127 feet) of 107 patients were followed up, and the duration ranged from 48 to 180 months (averaged, 64 months). According to AOFAS scoring system, the results were rated as excellent in 89 feet, good in 26 feet, moderate in 9 feet and poor in 3 feet. CONCLUSION:
|
Authors | Shao-Feng Jiao, Si-He Qin, Long-Xi Ren, Jian-Zhong Ge, Hong-Fei Wu, Zhen-Jun Wang, Xue-Jian Zheng |
Journal | Zhongguo gu shang = China journal of orthopaedics and traumatology
(Zhongguo Gu Shang)
Vol. 25
Issue 3
Pg. 237-40
(Mar 2012)
ISSN: 1003-0034 [Print] China |
PMID | 22712378
(Publication Type: English Abstract, Journal Article, Research Support, Non-U.S. Gov't)
|
Topics |
- Adolescent
- Adult
- Ankle
(abnormalities, surgery)
- Ankle Joint
(surgery)
- Child
- Child, Preschool
- Female
- Foot Deformities
(etiology, surgery)
- Humans
- Infant
- Male
- Middle Aged
- Spinal Dysraphism
(complications)
- Young Adult
|