Calcaneal-stop technique with lengthening of the peroneal tendons in the flat foot of infant cerebral palsy patients

摘要

Introduction: flat foot of the child is a great concern for the parents and the most frequent reason to go to the pediatric orthopedist's. Objectives: to evaluate the calcaneal-stop technique with lengthening of the peroneal tendons in treating the flat foot of infant cerebral palsy patient. Methods: a prospective, self-paired and intervention study was conducted in nine patients aged 4 to 14 years, who were operated on in the period of September 1st 2011 through August 31st 2012 in "Frank Pais" international scientific orthopedic complex center. Results: males (66.6 %), 4-9 years-olds (55.6 %), Caucasians (100 %) and both limbs affected (100 %) prevailed. All the patients presented functional compromise, degree III or IV in the plantigram and radiographic indicators for severity. In the postoperative period, there was significant reduction of the degree of disease (from 100 % with degree III or IV to 66.7 % with normal plantigrade and none of them with grade III or IV p 0.001) and better radiographic indicators (Moreau-Costa-Bartani angle (MCB): 146 ± 110 vs 129 ± 70; p 0.001) and astragalus-calcaneal angle: 33 ± 40 vs 24 ± 40; p 0,001). Minor complications were observed in a small portion of patients (n= 3 for 33.4 %). The level of satisfaction of the parents was high and the surgical result of this procedure was very good. Conclusions: the calcaneal-stop technique with lengthening of the peroneal tendons is a good therapeutic choice for patients with infant cerebral palsy and flat foot because of minor complications and good surgical results.