11/13. Does fascicular neurotomy have long-lasting effects?OBJECTIVE: To determine whether fascicular neurotomy has long-lasting effects on spasticity. DESIGN: We present 4 clinical cases and a critical analysis of the literature. patients: This is a retrospective study on 4 patients referred to our department for spastic equinovarus foot deformity. For all 4, neurotomy was successful not long after surgery, but spasticity reappeared after a few months. methods: We compared our results with those in the pubmed database. RESULTS: Most publications acknowledge the immediate effectiveness of this surgery, but do not study the long-term effects of neurotomy. No publication proved long-lasting effects of neurotomy for spastic equinovarus foot deformity. The only long-term follow-up with a sufficient population is the one of Berard et al. who reported 61% recurrence. CONCLUSION: There is no study showing that tibial nerve neurotomy has long-lasting effects. The 4 cases reported are an illustration that recurrence of spasticity may occur after neurotomy. These findings have to be taken into account for treatment decision-making and for provision of information to patients.- - - - - - - - - - ranking = 1keywords = deformity (Clic here for more details about this article) |
12/13. Metachromatic leukodystrophy: a case report of a child with an equinus deformity.The authors discuss an unusual disorder of myelin metabolism. Initial presentation was due to an unstable gait pattern. Characteristics of the disease and a representative case are evaluated.- - - - - - - - - - ranking = 2keywords = deformity (Clic here for more details about this article) |
13/13. Duplication of the medial column presenting as a fixed equinus deformity: a case report.A case of accessory talus is described in which a large ossicle on the medial aspect of the talus had formed an articulation with the distal tibial epiphysis and had produced a fixed equinus deformity of the ankle. We propose that this ossicle, in association with a previously excised accessory toe at the level of the base of the first metatarsal, represents a partial duplication of the medial column of the foot.- - - - - - - - - - ranking = 2.5keywords = deformity (Clic here for more details about this article) |
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