Bausteine zur gelenkerhaltenden kombinierten knöchernen und weichteiligen Korrektur des Pes cavovarus

• Verfasst von: Wallroth, Annika [VerfasserIn]
• Verfasst von: Dreher, Thomas [VerfasserIn]
• Titel: Bausteine zur gelenkerhaltenden kombinierten knöchernen und weichteiligen Korrektur des Pes cavovarus
• Paralleltitel: Components of the joint-sparing, combined bony and soft tissue correction of the cavovarus foot
• Verf.angabe: A. Wallroth, T. Dreher
• E-Jahr: 2018
• Jahr: 21 June 2018
• Umfang: 7 S.
• Fussnoten: Gesehen am 26.04.2019
• Titel Quelle: Enthalten in: Operative Orthopädie und Traumatologie
• Ort Quelle: München : Urban & Vogel, 1989
• Jahr Quelle: 2018
• Band/Heft Quelle: 30(2018), 4, Seite 286-292
• ISSN Quelle: 1439-0981
• DOI: doi:10.1007/s00064-018-0552-x
• Datenträger: Online-Ressource
• Sprache: ger
• Sach-SW: Cavovarus foot deformity
• Sach-SW: Foot deformities
• Sach-SW: Fußdeformitäten
• Sach-SW: Gelenkerhaltende Operation
• Sach-SW: Joint-sparing surgery
• Sach-SW: Osteotomie
• Sach-SW: Osteotomy
• Sach-SW: Pes-cavovarus-Deformität
• Sach-SW: Sehnentransfer
• Sach-SW: Tendon transfer
• K10plus-PPN: 1663647143

Abstract

ObjectiveCombined bony and soft tissue correction of a mild foot and flexible rearfoot deformity in cavovarus foot.IndicationsDrop foot during swing phase and muscular imbalance in the stance phase in cavovarus foot, flexible cavovarus foot, accompanying symptoms such as recurrent calluses and ulcerations, compliance.ContraindicationsPes cavovarus of spastic genesis, mild deformities, fixed bony deformity, lack of compliance, florid inflammation in the foot area, severe peripheral artery disease (PAD), diabetes mellitus.Surgical techniqueDescription of the gradual escalation of joint-sparing bony and soft tissue procedures.Postoperative managementPostoperative lower leg cast. In cases of combined bony and soft tissue correction, first 6 weeks of nonweight-bearing with lower leg cast, then 6 weeks of lower leg walking cast. With adequate bony consolidation, cast removal after a total of 12 weeks. In cases of pure soft-tissue foot correction, 6 weeks of lowerleg walking cast.ResultsIt was shown that only 22.5% of the affected feet (40 preoperative patients with cavovarus foot deformity) had a severe hindfoot equinus due to shortened calf muscles. In a study with 14 patients, it was shown that the tibialis posterior tendon transfer corrects the drop foot component and the excessive medial arch of the feet is significantly reduced by combined soft tissue and bony procedures.