Open versus percutaneous tendo-achilles lengthening in spastic cerebral palsy with equines deformity of the foot in children.
The purpose of this study was to compare open to percutaneous tendo-achilles lengthening (TAL) as treatment for equinus deformity (ED) in children with cerebral palsy (CP). Eighteen ambulatory spastic CP children (28 feet) with isolated primary fixed ED were randomized to these two methods and prospectively followed up 7 to 18 months postoperatively (mean 11 months). The study found that the percutaneous TAL gave shorter operative time, shorter hospitalization period, better active dorsal and plantarflexion abilities, better parent satisfaction, and lower complication rate. It was concluded that percutaneous TAL seemed to be superior to the open TAL regarding the studied parameters.
Department of Orthopaedic Surgery, Al-Kindy Teaching Hospital, Baghdad, Iraq.
Dhia A K
DA
Jaddue
Muzahim A
MA
Abbas
Arkan S
AS
Sayed-Noor
D000125:Achilles Tendon / Q000601:surgery*; D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D004863:Equinus Deformity / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D053580:Muscle Strength; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D016896:Treatment Outcome