[Hallux Valgus in Cerebral Palsy and Surgery by Author's Modification.].
The authors present their own surgical procedure used in hallux valgus of spastic origin in cerebral palsy in children and adolescents. In 11 patients they made a plastic operation in the area of the metatarsophalangeal joint by splitting the tendon of the m. extensor hallucis longus by shifting its medial half into the fold of the capsule of this joint on the inner side into the area of the m. abductor hallucis. Favourable postoperative results were recorded between the age of 10 and 14 years. With advancing age the success of the operation declines and other types of surgery should be considered. The described plastic operation is one of the possible solutions of hallux valgus spasticus in junior children, about 10 years old. Key words: cerebral palsy, surgical treatment, hallux valgus spasticus (neurogenes).
Smetana
V
V
Ortopedická klinika detí a dospelých 2. lékarské fakulty KU a FN Motol, Praha.
Schejbalová
A
A