Tag Archive for: Cerebral palsy

Split Transfer of Tibialis Posterior for Dynamic Equinovarus Deformity in Children with Cerebral Palsy

Volume 9 | Issue 2 | May-August 2023 | Page: 06-09 | Ravi Chandra Vattipalli, Manoranjan Bandela

DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.164

Submitted: 14/12/2022; Reviewed: 12/02/2023; Accepted: 15/05/2023; Published: 10/08/2023


Authors: Ravi Chandra Vattipalli DNB Ortho, Manoranjan Bandela MS Ortho 

[1] Department of Orthopaedics, Apollo Hospitals, Visakhapatnam, Andhra Pradesh, India.

Address of Correspondence

Dr. Ravichandra Vattipalli,
Consultant Orthopaedic Surgeon, Apollo Hospitals, Visakhapatnam, Andhra Pradesh, India.
E-mail: vatravi@hotmail.com


Abstract

Children with cerebral palsy often have foot deformities, equinovarus being one of the most common deformities. Several procedures have been advocated, centered around rerouting the tibialis posterior tendon. Whole transfer of the tendon is associated with poor results. The current study aims to establish the efficacy of split tendon transfer of the posterior tibial tendon rerouted through the interosseous membrane and anchored to the lateral cuneiform. Surgical results were analyzed using an indigenously developed score, considering the cultural need for bare foot walking.
Keywords- Split tendon transfer of tibialis posterior, Equinovarus deformity, Cerebral palsy


References

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How to Cite this Article:  Vattipalli R, Bandela M | Split Transfer of Tibialis Posterior for Dynamic Equinovarus Deformity in Children with Cerebral Palsy | International Journal of Paediatric Orthopaedics | May-August 2023; 9(2): 06-09 | https://doi.org/10.13107/ijpo.2023.v09.i02.164

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A Review of Decision Making in Foot Problems in Cerebral Palsy

Volume 8 | Issue 3 | September-December 2022 | Page: 02-05| Rohan Parwani

DOI- https://doi.org/10.13107/ijpo.2022.v08i03.142


Authors: Rohan Parwani [1]

[1] Department of Orthopaedics, Shri M P Shah Medical College, Jamnagar, Gujarat, India.

Address of Correspondence

Dr. Rohan Parwani
Assistant Professor, Department of Orthopaedics, Shri M. P Shah Medical College, Jamnagar, Gujarat, India.
E-mail: arthorohan@gmail.com


Abstract

Ambulatory children with cerebral palsy suffer from a range of problems. There are issues with stance, stability, posture, and endurance. The foot plays a significant role in the pathogenesis and treatment of these problems, especially in the lower limb. Our review article tries to highlight the foot problems and their solutions. The most common deformity in a child with cerebral palsy is the hindfoot equinus. This fixed deformity leads to poor balance in stance and reduced power generated during the push-off phase. Proper identification of the gait pattern and the role of the foot in deranging the gait can help decide ways to enhance the walk of a cerebral palsy child. Physiotherapy and stretching are vital to improving muscle physiology and growth. The weak muscles need to be supplemented with splints. There is also a significant role in the judicious use of surgery in cerebral palsy. Deciding which surgery to employ is critical and often contributes to the success or a disastrous failure. Our article highlights various facets of decision-making and ways to arrive at a proper decision.
Keywords- Cerebral palsy, Foot, Equinus, Gait


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How to Cite this Article: Parwani R | A Review of Decision Making in Foot Problems in Cerebral Palsy | International Journal of Paediatric Orthopaedics | May-August 2022; 8(2): 02-05.
https://doi.org/10.13107/ijpo.2022.v08.i03.142

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