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Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder
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Spastic Equinovarus Foot Deformity.

Kevin D Martin1, James Jastifer, Daniel Scott

  • 1From the Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH (Martin and Grzeskiewicz), the Department of Orthopaedic Surgery, Western Michigan University, Kalamazoo, MI (Jastifer), and the Department of Orthopaedics, Medical University of South Carolina, Charleston, SC (Scott).

The Journal of the American Academy of Orthopaedic Surgeons
|August 2, 2024
PubMed
Summary
This summary is machine-generated.

Acute brain injuries can cause spastic equinovarus foot deformities. Surgical interventions aim to restore a plantigrade foot for improved function and bracing in patients with severe neurological impairment.

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Area of Science:

  • Neurology
  • Orthopaedic Surgery
  • Rehabilitation Medicine

Background:

  • Acute brain injuries (ABI) present diverse etiologies impacting neurological function.
  • Neurological impairments range in severity, often hindering daily activities.
  • Early intervention involves multimodal approaches to prevent systemic complications.

Purpose of the Study:

  • To address the challenges of spastic equinovarus foot deformity secondary to ABI.
  • To outline surgical indications for achieving a plantigrade, braceable, and functional lower extremity.

Main Methods:

  • Initial management includes therapy, bracing, injections, and pharmacologic treatments.
  • For worsening spasticity and foot deformity, tendon releases and transfers are employed.
  • Selective fusions are considered for severe, intractable cases.

Main Results:

  • Spastic equinovarus foot deformity is a complication of upper motor neuron impairment post-ABI.
  • Cognitive impairment, spastic tone, and contractures complicate treatment in ABI patients.
  • Surgical goals focus on creating a balanced, functional, and plantigrade foot.

Conclusions:

  • Spastic equinovarus foot deformity in ABI patients presents complex orthopaedic challenges.
  • Treatment strategies evolve from conservative measures to surgical interventions like tendon procedures and fusions.
  • The primary aim of surgical intervention is to enable functional bracing and ambulation.