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Changes in Dynamic Pedobarography after Extensive Plantarmedial Release for Paralytic Pes Cavovarus

Authors
 Yong Uk Kwon  ;  Hyun Woo Kim  ;  Jin Ho Hwang  ;  Hoon Park  ;  Hui Wan Park  ;  Kun Bo Park 
Citation
 YONSEI MEDICAL JOURNAL, Vol.55(3) : 766-772, 2014 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2014
MeSH
Adolescent ; Calcaneus/abnormalities ; Calcaneus/diagnostic imaging* ; Calcaneus/surgery ; Child ; Child, Preschool ; Female ; Foot Deformities/diagnostic imaging* ; Foot Deformities/surgery ; Humans ; Male ; Osteotomy ; Radiography ; Retrospective Studies ; Treatment Outcome
Keywords
Paralysis ; osteotomy ; pes cavus
Abstract
PURPOSE: Plantarmedial release and first ray extension osteotomy are often combined to treat paralytic cavovarus foot deformity. The purpose of this study is to evaluate the effect of additional first ray extension osteotomy in terms of dynamic pedobarography. MATERIALS AND METHODS: We reviewed findings of pre- and postoperative plain radiography and dynamic pedobarography for 25 patients in whom the flexibility of the hindfoot was confirmed by the Coleman block test. The results of treatment by extensive plantar medial release with first ray osteotomy (group I) were compared with the results of treatment by extensive plantar medial release alone (group II). RESULTS: Plain radiographs obtained pre- and postoperatively showed no statistically significant improvement in each group. Only in group I, peak forces at the 1st metatarsal head, 2nd metatarsal head and medial calcaneus were increased after operation. CONCLUSION: In paralytic hindfoot flexible cavovarus, extensive plantarmedial release with first ray osteotomy improve foot pressure distribution more than extensive plantarmedial release alone.
Files in This Item:
T201402600.pdf Download
DOI
10.3349/ymj.2014.55.3.766
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Yong Uk(권용욱)
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
Park, Kun Bo(박건보) ORCID logo https://orcid.org/0000-0002-8839-4870
Park, Hoon(박훈) ORCID logo https://orcid.org/0000-0002-8063-3742
Park, Hui Wan(박희완)
Hwang, Jin Ho(황진호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99438
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