header

Comparative study between arthroereisis versus calcaneal lengthening in planovulgus foot in cerebral palsy children /

Yasser Mohamed Abdelriheem

Comparative study between arthroereisis versus calcaneal lengthening in planovulgus foot in cerebral palsy children / دراسة مقارنية ما بين تقييد المفصل مقابل اطالة عظمة العقب فى التسطح القدم المرنة فى حالات الشلل الدماغى عند الاطفال Yasser Mohamed Abdelriheem ; Supervised Hassan Magdy Elbarbary , Mohammed Mohmoud Hegazy , Amr Said Arafa - Cairo : Yasser Mohamed Abdelriheem , 2021 - 195 P . : charts , facsmilies ; 25cm

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery

lanovalgus deformity of the foot is common among cerebral palsy patients. There is no true consensus about the best way of treating this common deformity especially when surgical interference is required. Treatment options range from orthotics to complex surgical procedures. The current study is a randomized prospective comparative study designed to evaluate and compare the effectiveness of 2 different procedures in the correction of symptomatic flexible pes planovalgus in ambulatory CP patients by comparing the clinical outcomes, radiographic outcomes, patients (or parents) satisfaction and tolerance to shoes or braces 6 months after each procedure. Finally, it was concluded that there was a statistically significant improvement after both procedures in comparison to the preoperative parameters. No statistically significant differences were observed between the two groups regarding the aforementioned outcomes except for TNCA denoting more power of Evans osteotomy in the correction of forefoot abduction. In addition, neither procedure caused any loss of hindfoot mobility. Therefore, both procedures are valid options for the surgical management of PPV in ambulatory spastic CP patients



Arthroereisis versus calcaneal lengthening Cerebral palsy children Planovulgus foot