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Recurrence of equinus foot deformity after tendo-Achilles lengthening in patients with cerebral palsy
DC Field | Value | Language |
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dc.contributor.author | Chung, Chin Youb | - |
dc.contributor.author | Sung, Ki Hyuk | - |
dc.contributor.author | Lee, Kyoung Min | - |
dc.contributor.author | Lee, Seung Yeol | - |
dc.contributor.author | Choi, In Ho | - |
dc.contributor.author | Cho, Tae-Joon | - |
dc.contributor.author | Yoo, Won Joon | - |
dc.contributor.author | Park, Moon Seok | - |
dc.date.accessioned | 2023-05-08T00:43:04Z | - |
dc.date.available | 2023-05-08T00:43:04Z | - |
dc.date.created | 2018-09-10 | - |
dc.date.created | 2018-09-10 | - |
dc.date.created | 2018-09-10 | - |
dc.date.issued | 2015-06 | - |
dc.identifier.citation | Journal of Pediatric Orthopaedics, Vol.35 No.4, pp.419-425 | - |
dc.identifier.issn | 0271-6798 | - |
dc.identifier.uri | https://hdl.handle.net/10371/191992 | - |
dc.description.abstract | Background: Recurrence of equinus deformity after surgery is common in patients with cerebral palsy. This retrospective study was undertaken to estimate the recurrence rate of the equinus deformity after tendo-Achilles lengthening (TAL) in patients with cerebral palsy and to investigate the risk factors associated with the recurrence. Methods: Two-hundred forty three ambulatory patients with cerebral palsy, who underwent TAL for equinus foot deformity since 1995, and had undergone a preoperative and postoperative 3-dimensional gait analysis, were included. Cox proportional hazards model was used to determine the significant contributing factor for the recurrence of equinus foot deformity. Results: The mean patient age at surgery was 7.8 +/- 2.7 years and the mean follow-up duration was 8.1 +/- 3.4 years. Equinus deformity recurred in 22 of the 243 patients (9.1%) and the Kaplan-Meier survival estimate was shown to be 89.4% at 10 years not needing repeat surgery. According to the multivariate analysis using the Cox proportional hazard model, preoperative ankle dorsiflexion at initial contact (P = 0.016) was the only significant factor for recurrence of equinus deformity after surgery. Age at surgery and the type of limb involvement were not associated with the recurrence (P = 0.433 and 0.269). The cutoff values of preoperative gait kinematics between the non-recurrence and recurrence groups were -19 degrees of ankle dorsiflexion at initial contact (P = 0.018). Conclusions: This study showed that the severity of preoperative equinus deformity was a risk factor associated with recurrence after TAL in patients with cerebral palsy. Therefore, surgeons should consider the recurrence and later revision surgery for the patients with severe equinus foot deformity. | - |
dc.language | 영어 | - |
dc.publisher | Lippincott Williams & Wilkins Ltd. | - |
dc.title | Recurrence of equinus foot deformity after tendo-Achilles lengthening in patients with cerebral palsy | - |
dc.type | Article | - |
dc.identifier.doi | 10.1097/BPO.0000000000000278 | - |
dc.citation.journaltitle | Journal of Pediatric Orthopaedics | - |
dc.identifier.wosid | 000354295800021 | - |
dc.identifier.scopusid | 2-s2.0-84956916830 | - |
dc.citation.endpage | 425 | - |
dc.citation.number | 4 | - |
dc.citation.startpage | 419 | - |
dc.citation.volume | 35 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Chung, Chin Youb | - |
dc.contributor.affiliatedAuthor | Choi, In Ho | - |
dc.contributor.affiliatedAuthor | Cho, Tae-Joon | - |
dc.contributor.affiliatedAuthor | Yoo, Won Joon | - |
dc.contributor.affiliatedAuthor | Park, Moon Seok | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | CHILDREN | - |
dc.subject.keywordPlus | CONTRACTURE | - |
dc.subject.keywordPlus | RECESSION | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | ANKLE | - |
dc.subject.keywordAuthor | equinus foot deformity | - |
dc.subject.keywordAuthor | recurrence | - |
dc.subject.keywordAuthor | tendo-Achilles lengthening | - |
dc.subject.keywordAuthor | cerebral palsy | - |
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