title: Management of valgus hindfoot deformity in pediatric cerebral palsy patients by medial displacement osteotomy.
abstract: To determine the clinical indications and efficacy of medial displacement osteotomy of the calcaneus in management of hindfoot valgus, we evaluated 18 feet (ten patients) prospectively. Average follow-up was 42 months; minimum follow-up was 24 months. The osteotomy was performed parallel to the subtalar joint through a lateral incision; the distal fragment was displaced > or = 50% and transfixed with two parallel pins for approximately 4 weeks. Analysis of hindfoot stability, foot position, and extremity function yielded excellent (n = 17) or fair (n = 1) results. Varus overcorrection in the "fair" foot required a closing wedge osteotomy.
authors.affiliation: Department of Orthopaedic Surgery, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
authors.forename: L A
authors.initials: LA
authors.lastname: Koman
authors.forename: J F
authors.initials: JF
authors.lastname: Mooney
authors.forename: A
authors.initials: A
authors.lastname: Goodman
mesh_terms: D000293:Adolescent; D002111:Calcaneus / Q000601:surgery*; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D005531:Foot Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010027:Osteotomy; D011446:Prospective Studies