Treatment of equinovarus caused by cerebral palsy with neurotomy of muscular branch of tibial nerve.
- Author:
Xiao-hong MU
1
;
Lin XU
;
Shi-gang XU
;
Xu CAO
;
Peng ZHANG
;
Chen-ying ZHENG
;
Jiang CHEN
;
Xiao-ping LI
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Cerebral Palsy; complications; Child; Clubfoot; surgery; Female; Follow-Up Studies; Foot Deformities, Acquired; surgery; Humans; Male; Muscle, Skeletal; innervation; surgery; Neurosurgical Procedures; Tibial Nerve; surgery; Treatment Outcome
- From: China Journal of Orthopaedics and Traumatology 2009;22(1):31-32
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate clinical effect of neurotomy of muscular branch of tibial nerve for the treatment of equinovarus caused by cerebral palsy.
METHODSFifty-two cases of equinovarus caused by cerebral palsy were treated with neurotomy of muscular branch of tibial nerve. The male was 33 (38 feet) and the female 19 (26 feet) with the average age of 7.8 years old (from 6 to 10). The muscular tension according to Ashworsh grade, 34 cases were grade III and 18 cases were grade IV. The ankle clonus was positive in 42 cases.
RESULTSAll cases were followed up for 1-3 years with the average of 2.6 years. The spastic gait of cases had obviously improved and abnormity had no recurred. According to corrective degree of abnormity and satisfactive condition of patients, evaluation of the effect were excellent in 32 cases, good in 14, poor in 6.
CONCLUSIONNeurotomy of muscular branch of tibial nerve is the safe and effective method for the treatment of equinovarus caused by cerebral palsy.
