Pes planovalgus deformity in children with cerebral palsy

Abstract

Pes planovalgus deformity is common in children with cerebral palsy. In planovalgus foot, the talus subluxates medially, the calcaneus is in valgus, and the forefoot is in supination and external rotation related to the midfoot. In young children, mild planovalgus feet can be managed with orthotics. Surgery is indicated if the deformity is not reducible or if the patient cannot tolerate orthotics during functional activities. The surgery can be calcaneal lengthening or subtalar fusion to restore a stable plantigrade foot and achieve hindfoot correction. Medial column fusion is important to reconstruct the medial arch in severe planovalgus feet.

Modified Grice–Green subtalar arthrodesis performed using a partial fibular graft yields satisfactory results in patients with cerebral palsy

“…Unless this is detected and lengthened before the arthrodesis, the tight Achilles tendon will pull the calcaneus backwards and the bone graft placed across the subtalar joint may then slip out. Therefore, the reduction of the subtalar joint will be lost [21,27]. In the present study, lengthening of the aponeurosis of the gastrocnemius using the Vulpius procedure was performed in three patients (four feet; 26.6%) before the arthrodesis procedure to control the Achilles tendon spasticity.…”

The role of neurogenic feet deformities in the lower limb dysfunction structure in patients with cerebral palsy. Management of surgical treatment. Literature data review

“…Эквиноплосковальгусная деформация стоп в большей степени распространена в группах детей с диплегическими и гемипаретическими вариантами ДЦП и, учитывая изученные патогенетические аспекты, является многоплоскостной патологией стоп [27].…”

Kinderorthopädie – Schwerpunkt Fuß

“…Bei älteren Kindern werden die o. g. Osteotomien durchgeführt, wobei immer der Ort der Deformität/Instabilität berücksichtigt werden muss [5,21]. Gleichzeitig sollte immer auch die Pro-, Supinations-und Plantarflexionsmuskulatur balanciert werden [21,22]. Ab dem 10.…”