Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2008-7-1
pubmed:abstractText
Nineteen ambulant patients (children and adolescents, 23 feet), with mild-to-moderate cavus and claw feet of neuromuscular etiology, underwent a modified Chuinard-Baskin operation, combining long toe extensor tendon transfer to the metatarsals with distal tenodesis onto the proximal phalanx. The technique aims to improve forefoot deformity and metatarsophalangeal dysfunction, and to enhance ankle dorsiflexion. Transcutaneous flexor tenotomies in several toes, and additional complementary surgery in the middle and hindfoot (plantar soft tissue releases, tendon lengthenings, and/or transfers and osteotomies/fusions) were also performed, when required. Selection criteria for the target procedure were mild-to-moderate cavus deformity (<45 degrees Meary's angle), restricted ankle dorsiflexion, discomforting symptoms, age span 6 years to maturity, and follow-up had to be at least 2 years. Evaluation was based on modified Frank and Johnson's clinical criteria. Radiologically, the Meary's angle on lateral standing view (long axes of talus/first metatarsal) was used. Global results at last follow-up (mean 6.91 +/- 5.43 years) were excellent in 11 feet (48%), satisfactory in 9 (39%), and unsatisfactory in 3 (13%). This retrospective study showed that satisfactory correction can be obtained in mild-to-moderate claw foot deformity in children and adolescents with this variation of Chuinard-Baskin's operation, and therefore can be used as an alternative to others that are more traditionally used.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1542-2224
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
47
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
313-20
pubmed:meshHeading
pubmed:articleTitle
Modified Chuinard-Baskin procedure for managing mild-to-moderate cavus and claw foot deformity in children and adolescents.
pubmed:affiliation
Orthopedic Department of the Pendeli Children's Hospital, Athens, Greece. lrpddem@otenet.gr
pubmed:publicationType
Journal Article