Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Konkret geht es um den Diabetes-Patienten mit kardiovaskulären Erkrankungen oder Risiken, die Herzinsuffizienz sowie die kardiovaskuläre Primär- und Sekundärprävention. Sind Sie hier schon auf dem neuesten Stand? Unsere Experten beleuchten, wo und warum das bisherige Procedere geändert werden soll und was in der Praxis sinnvoll ist. Holen Sie sich Ihr Update und 2 CME-Punkte beim MMW-Webinar am 24. April von 17.30 bis 19 Uhr. 
Erweiterte Suche
Anmelden
nach oben
Journal of Children's Orthopaedics
Erschienen in: Journal of Children's Orthopaedics 6/2011

01.12.2011 | Current Concept Review

Orthopaedic management of spina bifida—part II: foot and ankle deformities

verfasst von: Vineeta T. Swaroop, Luciano Dias

Erschienen in: Journal of Children's Orthopaedics | Ausgabe 6/2011

Einloggen, um Zugang zu erhalten

Abstract

Both congenital and acquired orthopaedic deformities are common in patients with spina bifida. Examples of congenital deformities, which are present at birth, include clubfoot and vertical talus. Acquired developmental deformities are related to the level of neurologic involvement and include calcaneus and cavovarus. Orthopaedic deformities may also result from postoperative tethered cord syndrome. The previously published Part I reviewed the overall orthopaedic care of a patient with spina bifida, with a focused review of hip, knee, and rotational deformities. This paper will cover foot and ankle deformities associated with spina bifida, including clubfoot, equinus, vertical talus, calcaneus and calcaneovalgus, ankle and hindfoot valgus, and cavovarus. In addition, this paper will address the issues surrounding skin breakdown in patients with spina bifida.
Literatur
1.
Swaroop VT, Dias L (2009) Orthopedic management of spina bifida. Part I: hip, knee, and rotational deformities. J Child Orthop 3:441–449CrossRef
2.
Guille JT, Sarwark JF, Sherk HH, Kumar SJ (2006) Congenital and developmental deformities of the spine in children with myelomeningocele. J Am Acad Orthop Surg 14:294–302
3.
Westcott MA, Dynes MC, Remer EM, Donaldson JS, Dias LS (1992) Congenital and acquired orthopedic abnormalities in patients with myelomeningocele. Radiographics 12:1155–1173CrossRef
4.
Noonan KJ, Didelot WP, Lindseth RE (2000) Care of the pediatric foot in myelodysplasia. Foot Ankle Clin 5(2):281–304
5.
Maynard MJ, Weiner LS, Burke SW (1992) Neuropathic foot ulceration in patients with myelodysplasia. J Pediatr Orthop 12:786–788CrossRef
6.
Torosian CM, Dias LS (2000) Surgical treatment of severe hindfoot valgus by medial displacement osteotomy of the os calcis in children with myelomeningocele. J Pediatr Orthop 20(2):226–229
7.
Roach JW, Short BF, Saltzman HM (2011) Adult consequences of spina bifida: a cohort study. Clin Orthop Relat Res 469:1246–1252CrossRef
8.
Kancherla V, Romitti PA, Caspers KM, Puzhankara S, Morcuende JA (2010) Epidemiology of congenital idiopathic talipes equinovarus in Iowa, 1997–2005. Am J Med Genet A 152A(7):1695–1700CrossRef
9.
Gerlach DJ, Gurnett CA, Limpaphayom N, Alaee F, Zhang Z, Porter K, Kirchhofer M, Smyth MD, Dobbs MB (2009) Early results of the Ponseti method for the treatment of clubfoot associated with myelomeningocele. J Bone Joint Surg Am 91(6):1350–1359CrossRef
10.
Akbar M, Bresch B, Seyler TM, Wenz W, Bruckner T, Abel R, Carstens C (2009) Management of orthopaedic sequelae of congenital spinal disorders. J Bone Joint Surg Am 91:87–100CrossRef
11.
de Carvalho Neto J, Dias LS, Gabrieli AP (1996) Congenital talipes equinovarus in spina bifida: treatment and results. J Pediatr Orthop 16(6):782–785CrossRef
12.
Flynn JM, Herrera-Soto JA, Ramirez NF, Fernandez-Feliberti R, Vilella F, Guzman J (2004) Clubfoot release in myelodysplasia. J Pediatr Orthop B 13:259–262CrossRef
13.
Sharrard WJ, Grosfield I (1968) The management of deformity and paralysis of the foot in myelomeningocele. J Bone Joint Surg Br 50:456–465
14.
Janicki JA, Narayanan UG, Harvey B, Roy A, Ramseier LE, Wright JG (2009) Treatment of neuromuscular and syndrome-associated (nonidiopathic) clubfeet using the Ponseti method. J Pediatr Orthop 29(4):393–397CrossRef
15.
Gurnett CA, Boehm S, Connolly A, Reimschisel T, Dobbs MB (2008) Impact of congenital talipes equinovarus etiology on treatment outcomes. Dev Med Child Neurol 50:498–502CrossRef
16.
Ponseti IV, Smoley EN (1963) Congenital club foot: the results of treatment. J Bone Joint Surg Am 45:261–344
17.
Laaveg SJ, Ponseti IV (1980) Long-term results of treatment of congenital club foot. J Bone Joint Surg Am 62:23–31
18.
Cooper DM, Dietz FR (1995) Treatment of idiopathic clubfoot. A thirty-year follow-up note. J Bone Joint Surg Am 77:1477–1489
19.
Lourenco AF, Dias LS, Zoellick DM, Sodre H (2001) Treatment of residual adduction deformity in clubfoot: the double osteotomy. J Pediatr Orthop 21:713–718
20.
Dias LS, Stern LS (1987) Talectomy in the treatment of resistant talipes equinovarus deformity in myelomeningocele and arthrogryposis. J Pediatr Orthop 7:39–41CrossRef
21.
Sherk HH, Ames MD (1975) Talectomy in the treatment of the myelomeningocele patient. Clin Orthop Relat Res 110:218–222CrossRef
22.
Frawley PA, Broughton NS, Menelaus MB (1998) Incidence and type of hindfoot deformities in patients with low-level spina bifida. J Pediatr Orthop 18:312–313CrossRef
23.
Frischhut B, Stöckl B, Landauer F, Krismer M, Menardi G (2000) Foot deformities in adolescents and young adults with spina bifida. J Pediatr Orthop B 9:161–969CrossRef
24.
Broughton NS, Graham G, Menelaus MB (1994) The high incidence of foot deformity in patients with high-level spina bifida. J Bone Joint Surg Br 76:548–550
25.
Kodros SA, Dias LS (1999) Single-stage surgical correction of congenital vertical talus. J Pediatr Orthop 19(1):42–48
26.
Alaee F, Boehm S, Dobbs MB (2007) A new approach to the treatment of congenital vertical talus. J Child Orthop 1:165–174CrossRef
27.
Dobbs MB, Purcell DB, Nunley R, Morcuende JA (2006) Early results of a new method of treatment for idiopathic congenital vertical talus. J Bone Joint Surg Am 88:1192–1200CrossRef
28.
Ogata K, Schoenecker PL, Sheridan J (1979) Congenital vertical talus and its familial occurrence: an analysis of 36 patients. Clin Orthop Relat Res 139:128–132
29.
Rodrigues RC, Dias LS (1992) Calcaneus deformity in spina bifida: results of anterolateral release. J Pediatr Orthop 12(4):461–464CrossRef
30.
Bliss DG, Menelaus MB (1986) The results of transfer of the tibialis anterior to the heel in patients who have a myelomeningocele. J Bone Joint Surg Am 68:1258–1264
31.
Park KB, Park HW, Joo SY, Kim HW (2008) Surgical treatment of calcaneal deformity in a select group of patients with myelomeningocele. J Bone Joint Surg Am 90(10):2149–2159CrossRef
32.
Dias L (2002) Myelomeningocele and intraspinal lipoma. In: Sponseller PD (ed) Orthopaedic knowledge update: pediatrics, 2nd edn. American Academy of Orthopaedic Surgeons, Newton, MA, pp 249–259
33.
Mitchell GP (1977) Posterior displacement osteotomy of the calcaneus. J Bone Joint Surg Br 59:233–235
34.
Dias LS (1985) Valgus deformity of the ankle joint: pathogenesis of fibular shortening. J Pediatr Orthop 5:176–180CrossRef
35.
Dias LS (1978) Ankle valgus in children with myelomeningocele. Dev Med Child Neurol 20:627–633CrossRef
36.
Lubicky JP, Altiok H (2001) Transphyseal osteotomy of the distal tibia for correction of valgus/varus deformities of the ankle. J Pediatr Orthop 21(1):80–88CrossRef
37.
Stevens PM, Belle RM (1997) Screw epiphysiodesis for ankle valgus. J Pediatr Orthop 17(1):9–12
38.
Koutsogiannis E (1971) Treatment of mobile flat foot by displacement osteotomy of the calcaneus. J Bone Joint Surg Br 53:96–100
39.
Levitt RL, Canale ST, Gartland JJ (1974) Surgical correction of foot deformity in the older patient with myelomeningocele. Orthop Clin North Am 5:19–29
40.
Gallien R, Morin F, Marquis F (1989) Subtalar arthrodesis in children. J Pediatr Orthop 9:59–63CrossRef
41.
Coleman SS, Chesnut WJ (1977) A simple test for hindfoot flexibility in the cavovarus foot. Clin Orthop Relat Res 123:60–62
42.
Schwend RM, Drennan JC (2003) Cavus foot deformity in children. J Am Acad Orthop Surg 11:201–211
43.
Mubarak SJ, Van Valin SE (2009) Osteotomies of the foot for cavus deformities in children. J Pediatr Orthop 29(3):294–299CrossRef
44.
Bartonek A, Saraste H, Samuelsson L, Skoog M (1999) Ambulation in patients with myelomeningocele: a 12-year follow-up. J Pediatr Orthop 19(2):202–206CrossRef
45.
Díaz Llopis I, Bea Muñoz M, Martinez Agulló E, López Martinez A, García Aymerich V, Forner Valero JV (1993) Ambulation in patients with myelomeningocele: a study of 1500 patients. Paraplegia 31(1):28–32CrossRef
46.
Plaum PE, Riemer G, Frøslie KF (2006) Risk factors for pressure sores in adult patients with myelomeningocele—a questionnaire-based study. Cerebrospinal Fluid Res 3:14–15CrossRef
47.
Harris MB, Banta JV (1990) Cost of skin care in the myelomeningocele population. J Pediatr Orthop 10(3):355–361CrossRef
Metadaten
Titel
Orthopaedic management of spina bifida—part II: foot and ankle deformities
verfasst von
Vineeta T. Swaroop
Luciano Dias
Publikationsdatum
01.12.2011
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Children's Orthopaedics / Ausgabe 6/2011
Print ISSN: 1863-2521
Elektronische ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-011-0368-9

Weitere Artikel der Ausgabe 6/2011

Journal of Children's Orthopaedics 6/2011 Zur Ausgabe

Calendar of Events

Upcoming Meetings and Courses

Acknowledgement

Acknowledgement to reviewers 2011

Original Clinical Article

Isolated distal radial metaphyseal fractures with an intact ulna: risk factors for loss of reduction

Original Clinical Article

Long-term outcome after ulnar osteotomy for missed Monteggia fracture dislocation in children

Original Clinical Article

The incidence of compartment syndrome after flexible nailing of pediatric tibial shaft fractures

Original Clinical Article

Developmental dysplasia of the hip: impact of sonographic newborn hip screening on the outcome of early treated decentered hip joints—a single center retrospective comparative cohort study based on Graf’s method of hip ultrasonography

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

16.04.2024 | Spondylitis ankylosans | Nachrichten

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

15.04.2024 | Knie-TEP | Nachrichten

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

13.04.2024 | Klinik aktuell | Kongressbericht | Nachrichten

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“
weitere anzeigen

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise