Motion analysis and surgical results of anterior transfer of flexor hallucis longus for equinovarus gait in children with hemiplegia

Fujita, Hiroki; Fusagawa, Hiroyori; Nishibu, Hisato; Nosaka, Takuto; Matsuyama, Toshikatsu; Iba, Kousuke; Yamashita, Toshihiko

doi:10.1016/j.jos.2020.05.001

Cited by 5 publications

(12 citation statements)

References 21 publications

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“…Sample sizes ranged from 10 to 134 patients. Definitions of equinus were reported in thirteen studies [10][11][12][14][15][16][17][18][19][20][21][22][23] with var-…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes ranged from 10 to 134 patients. Definitions of equinus were reported in thirteen studies [10][11][12][14][15][16][17][18][19][20][21][22][23] with various thresholds of sagittal ankle kinematics used. Eleven studies [9,11,14,16,[20][21][22][23][24][25][26] specified the inclusion of fixed equinus, but not all used the widely used Silfverskiold test.…”

Section: Resultsmentioning

confidence: 99%

“…Definitions of equinus were reported in thirteen studies [10][11][12][14][15][16][17][18][19][20][21][22][23] with various thresholds of sagittal ankle kinematics used. Eleven studies [9,11,14,16,[20][21][22][23][24][25][26] specified the inclusion of fixed equinus, but not all used the widely used Silfverskiold test. Seventeen [9,11,12,14,16,[18][19][20]24,[27][28][29][30][31][32][33][34] studies specified the CP subtype as spastic CP.…”

Section: Resultsmentioning

confidence: 99%

“…Fourteen studies reported swing phase kinematics [4,9,10,12,14,18,21,[23][24][25][26]33,35,36]. All studies reported significant increases in maximum or mean swing phase ankle dorsiflexion.…”

Section: Swing Phase Dorsiflexionmentioning

confidence: 99%

“…Eight studies [16,19,20,23,29,30,32,33] reported Gait Profile Scores (GPS). The GPS measures the difference between patients and people with no gait pathology across nine kinematic variables [8].…”

Section: Gait Scoresmentioning

confidence: 99%

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Three-Dimensional Gait Analysis in Children Undergoing Gastrocsoleus Lengthening for Equinus Secondary to Cerebral Palsy

Sclavos

Passmore

et al. 2021

Medicina

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Background and Objectives: Equinus is the most common deformity in children with cerebral palsy, and surgical lengthening of the gastrocsoleus muscle-tendon unit is the most commonly performed operation for children with cerebral palsy. Treatment outcomes of orthopaedic surgery can be measured objectively with three-dimensional gait analysis. This study examined the quality of evidence for gastrocsoleus lengthening surgery based on objective measures. Materials and Methods: A search was performed with Medline, Embase and PubMed from 1990 to 25 August 2020 using the keywords “cerebral palsy”, “equinus”, “surgery” and “gait analysis”. Only studies of gastrocsoleus lengthening surgery using three-dimensional gait analysis were included, yielding 34 studies. Results: Fourteen studies reported swing phase kinematics and all studies reported a significant improvement. Rates of recurrent equinus and calcaneus were reported in 21 studies and varied widely based on follow-up period and surgical technique. Conclusions: Poor study quality and marked variability in study samples and interventions made comparison difficult. Future studies should consider prospective design, controls or comparison groups and more detailed breakdowns of outcomes by cerebral palsy subtype, sagittal gait pattern, and equinus type in order to allow more rigorous treatment recommendations to be made.

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“…Sample sizes ranged from 10 to 134 patients. Definitions of equinus were reported in thirteen studies [10][11][12][14][15][16][17][18][19][20][21][22][23] with var-…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Swing Phase Dorsiflexionmentioning

confidence: 99%

Section: Gait Scoresmentioning

confidence: 99%

See 3 more Smart Citations

Three-Dimensional Gait Analysis in Children Undergoing Gastrocsoleus Lengthening for Equinus Secondary to Cerebral Palsy

Sclavos

Passmore

et al. 2021

Medicina

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show abstract

Impact of lower muscle stiffness on ankle dorsiflexion restriction in children with cerebral palsy evaluated using ultrasound elastography

Nakamura,

Kimoto,

Okada

et al. 2023

Clinical Biomechanics

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[Retracted] Retrospective Case Analysis of 104 Cases of Talipes Equinus

Tan

Yang

Liu

et al. 2022

Journal of Environmental and Public Health

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A retrospective study of 104 patients (81 male and 23 females, the age range from 2 to 288days) with talipes equinus was conducted to explore the case factors associated with it. We analyzed and discussed the correlation of plaster correction times, age of first visit, gender, and birthplace of patients in the department and understood their correlation and causality. The data were analyzed using frequency analysis, normality test, chi-square goodness-of-fit test, chi-square test, and PLS regression. The findings are set out below. All the distributions of the number of plaster casts in the samples did not have normality. Therefore, we used the nonparametric test and partial least squares regression (PLS regression) and found that the number of plaster casts was more closely related to the age at first visit, gender, and birthplace and had a strong positive correlation. There was a negative correlation between the times of plaster correction and the compliance of braces. The lower the compliance of patients with braces, the more times the plaster correction will be conducted.

show abstract

Motion analysis and surgical results of anterior transfer of flexor hallucis longus for equinovarus gait in children with hemiplegia

Cited by 5 publications

References 21 publications

Three-Dimensional Gait Analysis in Children Undergoing Gastrocsoleus Lengthening for Equinus Secondary to Cerebral Palsy

Three-Dimensional Gait Analysis in Children Undergoing Gastrocsoleus Lengthening for Equinus Secondary to Cerebral Palsy

Impact of lower muscle stiffness on ankle dorsiflexion restriction in children with cerebral palsy evaluated using ultrasound elastography

[Retracted] Retrospective Case Analysis of 104 Cases of Talipes Equinus

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