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https://www.readbyqxmd.com/read/27676750/programmed-amputation-on-a-teenager-what-kind-of-preparation-for-what-outcome
#1
Marion Prigent, Sylvain Brochard, Mathias Thepaut, Christian Lefèvre, Dominique Le Nen, Thierry Cornic, Marie-Thérèse Cariou, Catherine Le Rouzic, Phlippe Le Moine, Christelle Pons, Laetitia Houx
OBJECTIVE: Traumatic lower limb amputation is rare in pediatric population, and surgeons always try limb salvage. But rarely, later amputation occurred when the traumatic limb is painful. It is a difficult and irreversible decision needed a multidisciplinary approach. We report how we managed a programmed trans-tibial amputation on 13-years-old boy, 20 months after a foot trauma. OBSERVATIONS: Our patient is an adolescent victim of a left foot crash. The first checkup showed a degloving injury, dislocation of the interphalangeal joints and of all toes...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/26041542/mid-term-results-of-intramuscular-lengthening-of-gastrocnemius-and-or-soleus-to-correct-equinus-deformity-in-flatfoot
#2
COMPARATIVE STUDY
Kai Rong, Wen-tao Ge, Xing-chen Li, Xiang-yang Xu
BACKGROUND: Intramuscular lengthening of the gastrocnemius and/or soleus (Baumann procedure) is widely used in patients who have cerebral palsy, with several advantages over other lengthening techniques. Tightness of the gastrocnemius or gastrocnemius-soleus complex has been confirmed to be related to flatfoot deformity. The purpose of this study was to evaluate the mid-term results of the Baumann procedure as a part of the treatment of flatfoot with equinus deformity. METHODS: We reviewed 35 pediatric and adult patients (43 feet) with flatfoot who underwent the Baumann procedure for the concomitant equinus deformity...
October 2015: Foot & Ankle International
https://www.readbyqxmd.com/read/25999301/comparison-of-efficacy-and-side-effects-of-oral-baclofen-versus-tizanidine-therapy-with-adjuvant-botulinum-toxin-type-a-in-children-with-cerebral-palsy-and-spastic-equinus-foot-deformity
#3
Alper I Dai, Sefika N Aksoy, Abdullah T Demiryürek
This retrospective study aimed to compare the therapeutic response, including side effects, for oral baclofen versus oral tizanidine therapy with adjuvant botulinum toxin type A in a group of 64 pediatric patients diagnosed with static encephalopathy and spastic equinus foot deformity. Following botulinum toxin A treatment, clinical improvement led to the gradual reduction of baclofen or tizanidine dosing to one-third of the former dose. Gross Motor Functional Measure and Caregiver Health Questionnaire scores were markedly elevated post-botulinum toxin A treatment, with scores for the tizanidine (Gross Motor Functional Measure: 74...
February 2016: Journal of Child Neurology
https://www.readbyqxmd.com/read/25937405/gastrocnemius-recession-for-foot-and-ankle-conditions-in-adults-evidence-based-recommendations
#4
REVIEW
Chris C Cychosz, Phinit Phisitkul, Daniel A Belatti, Mark A Glazebrook, Christopher W DiGiovanni
BACKGROUND: Gastrocnemius recession is a surgical technique commonly performed on individuals who suffer from symptoms related to the restricted ankle dorsiflexion that results when tight superficial posterior compartment musculature causes an equinus contracture. Numerous variations for muscle-tendon unit release along the length of the calf have been described for this procedure over the past century, although all techniques share at least partial or complete release of the gastrocnemius muscle given its role as the primary plantarflexor of the ankle...
June 2015: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25636214/-an-uncommon-cause-of-delayed-walking-idiopathic-palmoplantar-hidradenitis
#5
I Housni Alaoui, O Hocar, N Akhdari, S Amal, M Hakkou, G Hokoumi, G Draiss, M Bouskraoui
INTRODUCTION: Idiopathic palmoplantar hidradenitis is an uncommon neutrophilic dermatosis, occurring in children and young adults. Its pathogenesis is incompletely understood. It is characterized by spontaneous resolution, but it can relapse in 50% of cases. We describe a case of a child with atypical idiopathic hidradenitis remarkable for its impact on his motor development. OBSERVATION: A 3-year-old boy was admitted to the pediatric unit for etiological assessment of delayed walking...
March 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/24268889/onabotulinumtoxin-a-injections-a-safety-review-of-children-with-clubfoot-under-2-years-of-age-at-bc-children-s-hospital
#6
Harpreet Chhina, Alyssa Howren, Andrea Simmonds, Christine M Alvarez
BACKGROUND: Pediatric indications for Onabotulinumtoxin A extend beyond treatment of skeletal muscle conditions. Each of the indications for Onabotulinumtoxin A use have adverse events reported in the past. The aim of this study was to review dverse events in children less than 2 years of age who were treated with Onabotulinumtoxin A injections as part of equinus foot deformity, in the setting of clubfoot at British Columbia's Children Hospital. METHODS: A retrospective review of all clubfoot patients at British Columbia's Children Hospital, less than 2 years of age, who received a Onabotulinumtoxin A injection for equinus correction, between September 2000 and December 2012 was conducted...
March 2014: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/23449014/a-comprehensive-outcome-comparison-of-surgical-and-ponseti-clubfoot-treatments-with-reference-to-pediatric-norms
#7
Chris Church, Julie A Coplan, Dijana Poljak, Ahmed M Thabet, Durga Kowtharapu, Nancy Lennon, Stephanie Marchesi, John Henley, Roland Starr, Dan Mason, Mohan V Belthur, John E Herzenberg, Freeman Miller
PURPOSE: Isolated congenital clubfoot can be treated either operatively (posteromedial release) or conservatively (Ponseti method). This study retrospectively compared mid-term outcomes after surgical and Ponseti treatments to a normal sample and used multiple evaluation techniques, such as detailed gait analysis and foot kinematics. METHODS: Twenty-six children with clubfoot treated surgically and 22 children with clubfoot treated with the Ponseti technique were evaluated retrospectively and compared to 34 children with normal feet...
March 2012: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/23263679/correcting-pediatric-flatfoot-with-subtalar-arthroereisis-and-gastrocnemius-recession-a-retrospective-study
#8
COMPARATIVE STUDY
Richard M Jay, Nadia Din
BACKGROUND: Flatfoot deformities are common in children and are treated using many conservative and surgical approaches. Subtalar extra-articular arthroereisis, in particular, limits talar motion, spares the subtalar joint, and prevents excessive subtalar joint pronation. Addressing the underlying equinus deformity with gastrocnemius recession is an important factor in optimizing outcomes in patients with flatfoot deformity. METHODS: This study included 20 children, 4 to 17 years old...
April 2013: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/22682788/walking-ability-of-children-with-a-hexapod-external-ring-fixator-tsf%C3%A2-and-foot-plate-mounting-at-the-lower-leg
#9
F Schiedel, B Vogt, S Wacker, J Pöpping, K Bosch, R Rödl, D Rosenbaum
Wearing an external fixator for several months can be expected to profoundly affect the ability to walk, but, in principle, full weight-bearing is possible during corrective procedures with the Taylor Spatial Frame (TSF). The present prospective cohort study was conducted to assess whether patients are able to walk with or without crutches during treatment with a TSF on the lower leg. Twenty-four patients (10 girls, 14 boys; average age 11 years, range 6-17) scheduled for fixator surgery with osteotomies in the lower leg and foot mounting were included...
July 2012: Gait & Posture
https://www.readbyqxmd.com/read/22369026/clubfoot-in-children
#10
REVIEW
Vladan B Stevanović, Zoran S Vukasinović, Zoran Lj Bascarević, Galina B Stevanović, Dusko V Spasovski
Clubfoot, or talipes equinovarus, is a deformity consisting of equinus, varus, and adductus foot deformity. The true etiology of congenital clubfoot is unknown; several theories have been proposed. The pathology of the individual bones contributes to the clubfoot deformity and soft tissue contractures around the ankle and talocalcaneonavicular joint maintains the deformity and involve muscles, tendons, tendon sheaths, ligaments and joint capsules. Various treatment regimens have been proposed, including the use of corrective splinting, taping, and casting...
2011: Acta Chirurgica Iugoslavica
https://www.readbyqxmd.com/read/22343939/interobserver-reliability-in-pirani-clubfoot-severity-scoring-between-a-paediatric-orthopaedic-surgeon-and-a-physiotherapy-assistant
#11
COMPARATIVE STUDY
Samir Shaheen, Hiba Jaiballa, Shafique Pirani
The Ponseti method, now regarded as the standard of care for congenital clubfoot, is equally effective whether provided by orthopaedic surgeons or orthopaedic paramedics. Therefore, it is particularly suitable for under-resourced nations with lack of surgeons and physicians. At the Sudan Clubfoot Clinic, physiotherapy assistants (3-year diploma nurses with additional physiotherapy experience) are part of the Ponseti clubfoot treatment team, with the role of assessing the degree of deformity by the Pirani score to assist the team in providing treatment...
July 2012: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/22157436/botulinum-toxin-a-treatment-in-children-with-cerebral-palsy-its-effects-on-walking-and-energy-expenditure
#12
COMPARATIVE STUDY
Birol Balaban, Fatih Tok, A Kenan Tan, Dennis J Matthews
OBJECTIVE: This study aimed to evaluate the effects of botulinum toxin A (BTX-A) treatment on energy expenditure and ambulation in children with cerebral palsy (CP) and to determine if energy expenditure measurement could be considered a useful tool for evaluating the effectiveness of BTX-A treatment for CP. DESIGN: The study included 16 pediatric CP patients with equinus deformity who were capable of walking without assistance (group with CP). The children with CP were administered BTX-A injections into the gastrocnemius muscle...
January 2012: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/20864855/clubfoot-classification-correlation-with-ponseti-cast-treatment
#13
Alice Chu, Amy S Labar, Debra A Sala, Harold J P van Bosse, Wallace B Lehman
BACKGROUND: Many different clubfoot classification systems have been proposed, but no single one is universally accepted. Two frequently cited systems, developed by Dimeglio/Bensahel and Catterall/Pirani, are often used for evaluation purposes in the treatment of idiopathic clubfoot. Our hypothesis was that the initial scores would be positively correlated with the number of casts required for clubfoot correction, indicating to us that the more severe score would require more casts, and therefore truly show the accuracy and usefulness of the scoring system...
October 2010: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/20356770/a-review-of-tarsal-coalition-and-pes-planovalgus-clinical-examination-diagnostic-imaging-and-surgical-planning
#14
REVIEW
Andrea D Cass, Craig A Camasta
Pediatric pes planovalgus deformity may be classified as flexible or rigid. The rigid pes planovalgus is often a result of a tarsal coalition, which is typically characterized as a painful unilateral or bilateral deformity, frequently associated with peroneal spasm. However, many tarsal coalitions are asymptomatic and demonstrate no peroneal spasm or pes planovalgus deformity. Likewise, the severe pes planovalgus foot type can demonstrate some of the same clinical and radiographic features of a tarsal coalition, especially in the obese adolescent patient...
May 2010: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/20137982/gastrocnemius-recession-as-an-alternative-to-tendoachillis-lengthening-for-relief-of-forefoot-pressure-in-a-patient-with-peripheral-neuropathy-a-case-report-and-description-of-a-technical-modification
#15
Robert M Greenhagen, Adam R Johnson, Matthew C Peterson, Lee C Rogers, Nicholas J Bevilacqua
The gastrocnemius recession is a popular surgical procedure for the treatment of equinus contracture. Lengthening the gastrocnemius tendon has been show to be an effective means of reducing pressure to the plantar forefoot by weakening the triceps surae complex. The more traditional method of weakening the triceps surae is a modification of Hoke's triple hemisection through the tendoAchillis. This technique unfortunately carries a serious risk of the development of a calcaneal gait. The purpose of this case report is to demonstrate that the gastrocnemius recession is an effective and safe alternative to the traditional tendoAchillis lengthening...
March 2010: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/19963168/equinus-deformity-in-the-pediatric-patient-causes-evaluation-and-management
#16
REVIEW
Monique C Gourdine-Shaw, Bradley M Lamm, John E Herzenberg, Anil Bhave
Many types of equinus exist in the pediatric population. This article reviews the causes, clinical and radiographic evaluation, and treatment of pediatric equinus deformity. It discusses the conservative and surgical management of the different types of equinus and when these treatments are best employed. The underlying pathophysiology for each equinus case must be understood to ensure that the treatment is appropriate.
January 2010: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/19763722/endoscopic-gastrocnemius-recession-for-treating-equinus-in-pediatric-patients
#17
John F Grady, Carolyn Kelly
UNLABELLED: Gastrocnemius recessions have been performed as open or endoscopic procedures. Most of the literature describes the outcomes of these procedures in children with specific neurologic limitations. We report an alternative approach to endoscopic gastrocnemius recessions in neurologically healthy pediatric and adolescent patients whose gastrocnemius equinus could not be corrected nonoperatively. We prospectively followed 23 patients (16 boys, seven girls) who underwent 40 procedures for equinus deformity (n = 22) or osteoarthritis (n = 1)...
April 2010: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/19685227/-resection-of-talocalcaneal-coalition-in-children-and-adolescents-without-and-with-osteotomy-of-the-calcaneus
#18
Johannes Hamel
OBJECTIVE: Resection of the painful medial talocalcaneal fibrocartilaginous or bony bridge, thereby restoration of mobility of the peritalar joint complex; in case of flatfoot deformity realignment of the hindfoot and midfoot by medial sliding calcaneal osteotomy and in some cases correction of equinus contracture by intramuscular lengthening of the gastrocnemius muscle. INDICATIONS: Before growth arrest: --Bony or fibrocartilaginous bridge at the medial or dorsomedial talocalcaneal region with or without pain...
June 2009: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/19649348/use-of-vacuum-assisted-closure-and-a-dermal-regeneration-template-as-an-alternative-to-flap-reconstruction-in-pediatric-grade-iiib-open-lower-extremity-injuries
#19
Ted M Barnett, Jeffrey S Shilt
Severe degloving injuries to the pediatric lower extremity are difficult to treat, traditionally requiring local or free flaps for coverage. Combining vacuum-assisted closure techniques with a dermal regeneration template is proposed as a means for covering these difficult wounds. We retrospectively reviewed the charts of 7 consecutive patients (age range, 2-12 years) who underwent this treatment. All extremities healed without flap reconstruction or amputation. Mean follow-up was 24.4 months, and mean wound size was 196 cm2...
June 2009: American Journal of Orthopedics
https://www.readbyqxmd.com/read/19090311/anesthesia-in-a-child-with-pyruvate-dehydrogenase-deficiency-a-case-report
#20
Debra A Gilmore, James Mayhew
We report a case in a pediatric patient with pyruvate dehydrogenase deficiency who presented for a left foot tendon transfer with an Achilles tendon lengthening secondary to left ankle equinus. The pathophysiology of pyruvate dehydrogenase deficiency is discussed as well as anesthetic management in patients with pyruvate dehydrogenase deficiency.
December 2008: AANA Journal
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