Newsletter
Language
Language:
 
News
Archival Issues
Volume 19, 2017
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Search
 » 
Journal Abstract
 
Subcutaneous Achilles tendon lengthening in the treatment of spastic equinus contracture
Andrzej Borowski, Marek Synder, Marcin Sibiński
Ortop Traumatol Rehabil 2004; 6(6):784-788
ICID: 490380
Article type: Original article
IC™ Value: 5.84
Abstract provided by Publisher
 
Background. Despite the significant progress in medicine in recent years, the number of children with cerebral palsy world-wide is growing systematically, often causing treatment problems. The goal of the present study was to evaluate lengthening of the Achilles tendon in the subcutaneous treatment of equines contractures.
Material and methods. We analyzed 104 patients treated in Adult and Pediatric Orthopedics Clinic at the Lodz medical University from 1984 to 2001, in the course of multi-level release in the soft tissues. 53 patients reported for follow-up examinations, and 42 of these were selected for lengthening of the Achilles tendon using the White or Hoke methods. In 20 cases the operation was bilateral, giving a total of 62 feet. The average age at surgery was 6.19 years (range 2-13 years). All these patients presented with spastic palsy.
Results. All patients or caregivers, and if possible the child as well, reported significant improvement of the overall clinical status and better gait efficiency. There were no complications in the healing of the surgical wounds. In a clear majority of cases no scars were visible on the skin. The appearance of the Achilles tendon did not show signs of surgical intervention and resembled normal structures. No heel deformities occurred.
Conclusions. There was no essential difference in long-term outcome, and traditional methods. In view of the simplicity of operation, the cosmetic outcome, and earlier resumption of rehabilitation, subcutaneous lengthening should be considered the method of choice.

ICID 490380
PMID 17618195 - click here to show this article in PubMed
 
FULL TEXT 6415 KB


Related articles
  • in IndexCopernicus™
         metoda Hoke [1 related records]
         metoda White [1 related records]
         mózgowe porażenie [1 related records]
         stopa spastyczna [1 related records]
         Hoke method [1 related records]
         White method [1 related records]
         Cerebral Palsy [164 related records]
         Equinus Deformity [1 related records]

  • Related articlesin PubMed database
  • in PubMed database [ related records]


  •  

    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.