Xiao Baohui,Xiao Han,Lei Ting,et al.Arthroscopic gastrocnemius aponeurotic release for the treatment of spastic equinus deformity[J].Journal of Clinical Pediatric Surgery,,():837-840.[doi:10.3760/cma.j.cn101785-202310043-007]
Arthroscopic gastrocnemius aponeurotic release for the treatment of spastic equinus deformity
- Keywords:
- Equinus Deformity; Spasm; Gastrocnemius; Tenotomy; Arthroscopy
- Abstract:
- Objective To evaluate the clinical efficacy of arthroscopic gastrocnemius aponeurotic release in the treatment of spastic equinus deformity. Methods A retrospective analysis was conducted on the clinical data of 17 pediatric patients with spastic equinus deformity who underwent arthroscopic gastrocnemius aponeurotic release in the Department of Orthopedics at Hunan Children’s Hospital from December 2020 to November 2022.The maximum passive dorsiflexion angle of the ankle joint and the duration of surgery were measured preoperatively,at 2 weeks,3 months,and 1 year postoperatively.Postoperative complications such as wound infection,decreased plantarflexion strength,and painful scars around the wound were observed. Results A total of 17 cases (21 feet) were included in the study,with 10 males and 7 females;4 cases were bilateral,11 were left-sided,and 2 were right-sided.The average age at surgery was 75.2±25.3 months.The average surgery duration was 25±3.6 minutes.The preoperative maximum passive dorsiflexion angle of the ankle joint was -11.62±5.74°,which improved to 11.62±1.98° at 2 weeks postoperatively.11.52±1.89° at 3 months postoperatively,and 12.76±3.51° at 1 year postoperatively.The differences between the preoperative and postoperative maximum passive dorsiflexion angles at 2 weeks,3 months,and 1 year were statistically significant (P<0.05).No cases of wound infection,significant decrease in ankle plantarflexion strength,sural nerve palsy,or painful scars around the wound were observed postoperatively. Conclusions Arthroscopic gastrocnemius aponeurotic release is a safe and effective treatment for spastic equinus deformity,though long-term outcomes require further follow-up.
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Memo
收稿日期:2023-10-24。
基金项目:儿童骨科学湖南省重点实验室,湖南省卫健委科研课题(20200021)
通讯作者:朱光辉,Email:zgh5650@163.com;严安,Email:yanan.m.d@qq.com