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Published on: June 30, 2021
Stepwise surgical approach to equinocavovarus in patients with cerebral palsy
Sung Hun Won1, Soon Sun Kwon, Chin Youb Chung
1aDepartment of Orthopaedic Surgery, Armed Force Medical Command, Sungnam bDepartment of Mathematics, College of Natural Science, Ajou University, Suwon cDepartment of Orthopaedic Surgery, Seoul National University Bundang Hospital, Sungnam, Kyungki dDepartment of Orthopaedic Surgery, Sungkyunkwan University Samsung Changwon Hospital, Changwon, Kyungnam eDepartment of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Chungnam, Korea.
Abstract:
This study investigated the radiologic results of a stepwise surgical approach to equinocavovarus in 24 patients with cerebral palsy and determined the extent to which each procedure affected radiographic parameters using a linear mixed model. The anteroposterior talus-first metatarsal and anteroposterior talonavicular coverage angles were improved. The calcaneal pitch angle, tibiocalcaneal angle, lateral talus-first metatarsal angle, and naviculocuboid overlap were also improved. The Dwyer sliding osteotomy affected the tibiocalcaneal angle, whereas first metatarsal dorsal wedge osteotomy improved the calcaneal pitch angle and lateral first metatarsal angle. The stepwise surgical approach is effective for correction of equinocavovarus in cerebral palsy patients.
