[Percutaneous aponeurotomy of the triceps surae muscle in cerebral palsy in children].
OBJECTIVE
To assess the short-term results of percutaneous aponeurotomy of gastrocnemius including the possible complications and effects of the treatment.


METHODS
Totally 88 procedures were performed in 61 patients in the period 1998-2001. Re-examination in 2002 involved 44 patients with 66 procedures.


METHODS
The procedure was done from one-point incision. Six weeks immobilisation followed. Re-examination concerned the shape of the calf, the testing for palpable defect, US examination of calf muscles and aponeurosis, neurological and vascular examination.


RESULTS
Recurrence of mild degree of equinus deformity was found in 3 out from 66 procedures. No neurological or vascular complications were registered.


CONCLUSIONS
Rate of recurrence in this study is comparable with the figures after open aponeurotomy.


CONCLUSIONS
Operation is reserved for skilled surgeon, however in short future, most of operations on spastics will be done like video-assisted procedures.
Poul
J
J
Klinika dĕtské chirurgie, ortopedie a traumatologie, Dĕtská nemocnice, FN Brno. j.poul@med.muni.cz
Pesl
M
M
Pokorná
M
M
D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000601:surgery*; D004863:Equinus Deformity / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007866:Leg / Q000601:surgery*; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery*