Double calcaneal osteotomy in treatment of flexible planovalgus foot deformity in ambulatory cerebral palsy. A case series study. Issue 5 (October 2019)

• Record Type: Journal Article
• Authors: Aly, Ahmad Saeed; Abdel Rahman, Amr Farouk; Mahmoud, Shady
• Is Part Of: Foot and ankle surgery. Volume 25:Issue 5(2019)
• Page Start: 640
• Page End: 645
• Publication Date: 2019-10
• Subjects: Double calcaneal osteotomy -- Lateral column lengthening -- Medial slide calcaneal osteotomy -- Cerebral palsy -- Planovalgus feet; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2018.07.003
• Languages: English
• ISSNs: 1268-7731

Abstract

Highlights: Ambulatory C.P patients in paediatric population suffer from pes planovalgus deformity. MTCO was used to correct hindfoot valgus but sometimes is not quite effective in correcting the midfoot and forefoot deformity. Combining MTCO with Evan's osteotomy was used in patients with severe but flexible pes planovalgus ambulatory C.P patients. Combining both osteotomies together gives a very good quantitative measurable clinical and radiological improvement after operation with minimal complications. Abstract: Background: The aim of this prospective non randomized case series study was to assess the intermediate-term outcomes of double calcaneal osteotomy (lateral column lengthening and medial slide calcaneal osteotomy) use in ambulatory cerebral palsy with flexible planovalgus feet. Methods: 16 cases with planovalgus feet were surgically treated by double calcaneal osteotomy and observed over an average of 33.5 months. The mean age at the time of surgery was 10.74 years. The functional outcomes were assessed clinically and radiologically. Results: There were a statistical improvement of clinical heel valgus and all radiological parameters as regard talar head uncoverage, calcaneal pitch, talo-calcaneal angle, and talus 1st metatarsal angle at the end of follow up period. Conclusion: Double calcaneal osteotomy is a good option in the treatment of flexible planovalgus feet in ambulatory cerebral palsy patients.