alexa The recurrent clubfoot: can gait analysis help us make better preoperative decisions?
Orthopaedics

Orthopaedics

Clinical Research on Foot & Ankle

Author(s): Sankar WN, Rethlefsen SA, Weiss J, Kay RM

Abstract Share this page

Abstract Gait patterns in children with recurrent clubfoot are often associated with more or less subtle factors contributing to the patterns, such as tibial torsion that might not be detected by visual observation and therefore not considered in a treatment plan. We therefore used gait analysis to elucidate the contributions to recurrent clubfoot deformity and to determine whether gait analysis could be important in preoperative decision-making for these patients. We reviewed all 35 patients (56 feet) referred to our gait laboratory for recurrent deformity following treatment of idiopathic clubfoot. The average age of the children in our series was 6.7 years (range, 3.6-15.4 years). Data were acquired from computerized motion analysis, dynamic electromyography, and static measurements by a physical therapist. We found a high incidence of transverse plane deformities including intoeing in 45 of 56 feet (80\%), internal tibial torsion in 40 of 56 feet (71\%), and forefoot adductus in 40 of 56 feet (71\%). Forty feet were supinated in stance; of these patients, 28 (70\%) had overactive tibialis anterior muscle activity based on dynamic EMG. Dynamic compensatory hip external rotation was present in 28 of 56 (50\%) of limbs. Thirty of the 35 patients underwent surgery following gait analysis; the most common procedures included split anterior tibial tendon transfers (34), tibial derotational osteotomies (34), and midfoot osteotomies (20). Quantitative gait analysis resulted in 28 changed procedures in 19 of 30 patients (63\%) compared to prestudy surgical plans. LEVEL OF EVIDENCE: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
This article was published in Clin Orthop Relat Res and referenced in Clinical Research on Foot & Ankle

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

  • 5th International Conference on Physiotherapy
    Nov 27-28, 2017, Dubai, UAE
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]e.com

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords