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Simplified approach to idiopathic toe-walking.

M Kogan1, J Smith

  • 1Primary Children's Medical Center, Salt Lake City, Utah, USA.

Journal of Pediatric Orthopedics
|October 25, 2001
PubMed
Summary
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Percutaneous Achilles tendon lengthening effectively treats idiopathic toe-walking (ITW) in children. This outpatient procedure resulted in no recurrences and high parent satisfaction, simplifying ITW management.

Area of Science:

  • Pediatric Orthopedics
  • Neurosurgery

Background:

  • Idiopathic toe-walking (ITW) presents treatment controversies.
  • Current management strategies for ITW vary significantly.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of percutaneous Achilles tendon lengthening for idiopathic toe-walking.
  • To assess long-term patient and parent satisfaction following the procedure.

Main Methods:

  • Retrospective review of 15 children treated for ITW between 1993 and 1999.
  • Outpatient percutaneous tendo-Achilles lengthening followed by 4 weeks of below-knee casting.
  • Follow-up survey conducted with 10 of the 15 patients.

Main Results:

  • No cases of toe-walking recurrence were reported by parents.

Related Experiment Videos

  • All surveyed children could participate in activities without noticing calf weakness.
  • Two patients experienced mild Achilles tendinitis, managed with anti-inflammatory medication.
  • Overall parent satisfaction with the treatment outcome was high.

    • Conclusions:

    • Percutaneous tendo-Achilles lengthening is a simplified and effective outpatient treatment for idiopathic toe-walking.
    • The procedure demonstrates favorable long-term outcomes and high patient/parent satisfaction.