Open AccessComparative Evaluation of the Results of Surgical and Conservative Treatment of Planovalgus Foot Deformity in Children
Author(s) -
О. В. Кожевников,
И. С. Косов,
Alexey V. Ivanov,
Inna V. Gribova,
А. В. Болотов
Publication year - 2015
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto201522255-59
Subject(s) - medicine , deformity , foot deformity , conservative treatment , foot (prosody) , surgery , linguistics , philosophy
Comparative evaluation of treatment results was performed for 122 patients, aged 1.5 - 18 years, with planovalgus foot deformity. Complex treatment included surgical intervention (modification of foot reconstruction by Kummer-Kouel-Ramsey, subtalar joint arthroereisis and two step combined technique) in combination with the method of functional biomanagment. Results were assessed at terms from 6 months to 4 years basing on the data of objective instrumental examinations (computed podography, roentgenography, electromyography) and the data on the international AOFAS system. It was stated that conservative treatment ensured stabilization of the condition and increase of mean point by AOFAS scale made up 5.82. In the same time complex treatment contributed to the restoration of osteoarticular interrelation and ensured functional competence. Mean estimate by AOFAS scale increased by 29.48 pointsin that group of patients. Positive results of complex anatomo-functional approach to the treatment of children withplanovalgus deformity enable to consider the proposed technique as a prospective one.