Achilles tendon extension and tibialis transfer combined with tendon transposition for cerebral palsy-induced talipes equinovarus：ankle recovery and foot function evaluation
10.3969/j.issn.2095-4344.2015.02.015
- VernacularTitle:跟腱延长及胫骨肌与肌腱移植修复脑瘫致马蹄内翻足:恢复踝关节及足功能的评价
- Author:
Jingquan GUO
;
Yi LUO
;
Yu GAO
;
Shangli REN
;
Zilei ZHENG
- Publication Type:Journal Article
- Keywords:
Clubfoot;
Cerebral Palsy;
Achiles Tendon;
Surgical Procedures,Operative
- From:
Chinese Journal of Tissue Engineering Research
2015;(2):241-245
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:It has a variety of treatments for equinovarus in spastic cerebral palsy, including physical therapy, orthotic therapy, systemic anti-spasticity drug therapy, local intramuscular injection of botulinum toxin type A and a variety of surgical operations. These treatments aim at different severity of deformities and different age in children patients, and each has its own merits. OBJECTIVE:To investigate the therapeutic effect of Achiles tendon “Z”-type extension, tibialis anterior and posterior transfer combined with tendon transposition to treat equinovarus in spastic cerebral palsy. METHODS: Twenty-two children with spastic cerebral palsy combined with equinovarus were colected from 2012 to 2014, and then these children were subject to Achiles tendon “Z”-type extension, tibialis anterior and posterior transfer combined with tendon transposition. Postoperative plaster external fixation was done for 6 weeks, and then rehabilitation training was given. RESULTS AND CONCLUSION:Al the 22 patients were folowed for an average of 1-2 years, and then were evaluated according to the degree of patient’s satisfaction and the degree of foot deformity. Satisfactory results were obtained from al the patients. Achiles tendon “Z”-type extension, tibialis anterior and posterior transfer combined with tendon transposition to treat spastic cerebral palsy combined with equinovarus is a good method, and it is characterized as good appearance of the ankle and favorable foot function.
