title: Stepwise surgical approach to equinocavovarus in patients with cerebral palsy.
abstract: This study investigated the radiologic results of a stepwise surgical approach to equinocavovarus in 24 patients with cerebral palsy and determined the extent to which each procedure affected radiographic parameters using a linear mixed model. The anteroposterior talus-first metatarsal and anteroposterior talonavicular coverage angles were improved. The calcaneal pitch angle, tibiocalcaneal angle, lateral talus-first metatarsal angle, and naviculocuboid overlap were also improved. The Dwyer sliding osteotomy affected the tibiocalcaneal angle, whereas first metatarsal dorsal wedge osteotomy improved the calcaneal pitch angle and lateral first metatarsal angle. The stepwise surgical approach is effective for correction of equinocavovarus in cerebral palsy patients.
authors.affiliation: aDepartment of Orthopaedic Surgery, Armed Force Medical Command, Sungnam bDepartment of Mathematics, College of Natural Science, Ajou University, Suwon cDepartment of Orthopaedic Surgery, Seoul National University Bundang Hospital, Sungnam, Kyungki dDepartment of Orthopaedic Surgery, Sungkyunkwan University Samsung Changwon Hospital, Changwon, Kyungnam eDepartment of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Chungnam, Korea.
authors.forename: Sung Hun
authors.initials: SH
authors.lastname: Won
authors.forename: Soon Sun
authors.initials: SS
authors.lastname: Kwon
authors.forename: Chin Youb
authors.initials: CY
authors.lastname: Chung
authors.forename: Kyoung Min
authors.initials: KM
authors.lastname: Lee
authors.forename: In Hyeok
authors.initials: IH
authors.lastname: Lee
authors.forename: Ki Jin
authors.initials: KJ
authors.lastname: Jung
authors.forename: Sang Young
authors.initials: SY
authors.lastname: Moon
authors.forename: Myung Ki
authors.initials: MK
authors.lastname: Chung
authors.forename: Moon Seok
authors.initials: MS
authors.lastname: Park
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications*; D003025:Clubfoot / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016014:Linear Models; D008297:Male; D019637:Orthopedic Procedures; D011859:Radiography; D012189:Retrospective Studies