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척수수막류 환아의 종족 변형에 대한 전경골근 건 이전술 : 예비 보고

Other Titles
 Tibialis Anterior Tendon Transfer for Calcaneus Deformity in Children with Myelomeningocele - A Preliminary Report - 
 박건보  ;  박희완  ;  오경수  ;  김현우 
 Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.41(2) : 328-339, 2006 
Journal Title
 Journal of the Korean Orthopaedic Association (대한정형외과학회지) 
Issue Date
Purpose: To examine the results of tibialis anterior tendon transfer for the treatment of a calcaneus deformity in children with a myelomeningocele. Materials and Methods: Twenty-seven feet in sixteen children were examined in this study. The mean age at the time of surgery was 7<SUP>+2</SUP> years (range, 4<SUP>+11</SUP>-14<SUP>+9</SUP>) and the mean follow up duration was 25 months (range, 15-50). Three-dimensional gait analysis and dynamic foot-pressure measurement were performed to analyze the results of the index operation. Results: There was no recurrence or aggravation of the deformity. The sagittal kinematics of the ankle improved, and the relative impulse of the calcaneus decreased postoperatively. Those patients with an increased range of motion of the pelvic rotation during gait showed less improvement in the relative impulse of the calcaneus than those with a good range of pelvic rotation. They also had a lower range of knee sagittal motion and an increased range of abduction of the hip, and up-obliquity of the pelvis. Conclusion: A good range of motion of the hip and pelvis in coronal and transverse planes, and of the knee in the sagittal plane are important predictors of the functional transfer of tibialis anterior tendon in patients with a calcaneal gait in a myelomeningocele.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
Park, Hui Wan(박희완)
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