Continuous Wear of Night and Day Orthosis Is a Key Factor for Improvement of Fixed Equinus Deformity after the Transverse Vulpius Procedure
<i>Background:</i> Equinus foot deformity is secondary to either spasticity or contracture of the gastrocnemius–soleus complex. The plantar flexion is basically treated conservatively; several different surgical methods have been discussed. This paper focuses on the improvement of passiv...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-02-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/9/2/209 |
| _version_ | 1797481689664978944 |
|---|---|
| author | Mathis Wegner Katharina I. Koyro Louisa Kosegarten Anna Kathrin Hell Heiko M. Lorenz Volker Diedrichs Sebastian Lippross |
| author_facet | Mathis Wegner Katharina I. Koyro Louisa Kosegarten Anna Kathrin Hell Heiko M. Lorenz Volker Diedrichs Sebastian Lippross |
| author_sort | Mathis Wegner |
| collection | DOAJ |
| description | <i>Background:</i> Equinus foot deformity is secondary to either spasticity or contracture of the gastrocnemius–soleus complex. The plantar flexion is basically treated conservatively; several different surgical methods have been discussed. This paper focuses on the improvement of passive ankle dorsiflexion after a transverse Vulpius procedure in equinus foot deformity. Additionally, the influence of consequent postoperative wear of orthosis on the improvement of ankle range of motion was investigated. <i>Methods:</i> In total, 41 patients with neuromuscular impairment and 59 equinus feet deformities were surgically treated by using a transverse Vulpius procedure. A total of 19 female patients and 22 male patients with a mean age at surgery of 10.18 years (2 to 31) were included. Mean follow-up took place 12.26 ± 7.95 months after surgery. Passive ankle dorsiflexion was measured and subjective patients’ satisfaction was assessed. <i>Results:</i> Range of motion, measured as the maximum of passive ankle joint dorsiflexion, improved significantly from −8° ± 5.9° to 11.1° ± 6.7° directly after surgery to 16.2° ± 10.7° at follow-up. The improvement of passive ankle dorsiflexion was significantly associated with the continuous wearing of night and day orthosis (<i>p</i> = 0.0045). Patient subjective satisfaction was very high. <i>Conclusion:</i> A transverse Vulpius procedure for aponeurotic gastrocnemius and soleus muscle lengthening of equinus foot deformity resulted in a significant improvement of passive ankle dorsiflexion. Positive surgical results correlated to a continuous use of orthotic devices. |
| first_indexed | 2024-03-09T22:18:10Z |
| format | Article |
| id | doaj.art-5abe9433b5f04d7fa890985126fc0b2e |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T22:18:10Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-5abe9433b5f04d7fa890985126fc0b2e2023-11-23T19:19:17ZengMDPI AGChildren2227-90672022-02-019220910.3390/children9020209Continuous Wear of Night and Day Orthosis Is a Key Factor for Improvement of Fixed Equinus Deformity after the Transverse Vulpius ProcedureMathis Wegner0Katharina I. Koyro1Louisa Kosegarten2Anna Kathrin Hell3Heiko M. Lorenz4Volker Diedrichs5Sebastian Lippross6Department of Trauma and Orthopaedic Surgery, University Medical Center of Schleswig-Holstein, Campus Kiel, 24105 Kiel, GermanyDepartment of Plastic, Aesthetic, Hand and Reconstructive Surgery, Burn Centre, Medical School Hannover, 30625 Hannover, GermanyDepartment of Trauma and Orthopaedic Surgery, University Medical Center of Schleswig-Holstein, Campus Kiel, 24105 Kiel, GermanyDepartment of Orthopaedics, Trauma and Plastic Surgery, Paediatric Orthopaedics, University Medicine Goettingen, 37099 Göttingen, GermanyDepartment of Orthopaedics, Trauma and Plastic Surgery, Paediatric Orthopaedics, University Medicine Goettingen, 37099 Göttingen, GermanyLubinus Clinicum Kiel, 24106 Kiel, GermanyDepartment of Trauma and Orthopaedic Surgery, University Medical Center of Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany<i>Background:</i> Equinus foot deformity is secondary to either spasticity or contracture of the gastrocnemius–soleus complex. The plantar flexion is basically treated conservatively; several different surgical methods have been discussed. This paper focuses on the improvement of passive ankle dorsiflexion after a transverse Vulpius procedure in equinus foot deformity. Additionally, the influence of consequent postoperative wear of orthosis on the improvement of ankle range of motion was investigated. <i>Methods:</i> In total, 41 patients with neuromuscular impairment and 59 equinus feet deformities were surgically treated by using a transverse Vulpius procedure. A total of 19 female patients and 22 male patients with a mean age at surgery of 10.18 years (2 to 31) were included. Mean follow-up took place 12.26 ± 7.95 months after surgery. Passive ankle dorsiflexion was measured and subjective patients’ satisfaction was assessed. <i>Results:</i> Range of motion, measured as the maximum of passive ankle joint dorsiflexion, improved significantly from −8° ± 5.9° to 11.1° ± 6.7° directly after surgery to 16.2° ± 10.7° at follow-up. The improvement of passive ankle dorsiflexion was significantly associated with the continuous wearing of night and day orthosis (<i>p</i> = 0.0045). Patient subjective satisfaction was very high. <i>Conclusion:</i> A transverse Vulpius procedure for aponeurotic gastrocnemius and soleus muscle lengthening of equinus foot deformity resulted in a significant improvement of passive ankle dorsiflexion. Positive surgical results correlated to a continuous use of orthotic devices.https://www.mdpi.com/2227-9067/9/2/209equinus deformitygastrocnemius releasegastrocnemius–soleus aponeurotic recession |
| spellingShingle | Mathis Wegner Katharina I. Koyro Louisa Kosegarten Anna Kathrin Hell Heiko M. Lorenz Volker Diedrichs Sebastian Lippross Continuous Wear of Night and Day Orthosis Is a Key Factor for Improvement of Fixed Equinus Deformity after the Transverse Vulpius Procedure Children equinus deformity gastrocnemius release gastrocnemius–soleus aponeurotic recession |
| title | Continuous Wear of Night and Day Orthosis Is a Key Factor for Improvement of Fixed Equinus Deformity after the Transverse Vulpius Procedure |
| title_full | Continuous Wear of Night and Day Orthosis Is a Key Factor for Improvement of Fixed Equinus Deformity after the Transverse Vulpius Procedure |
| title_fullStr | Continuous Wear of Night and Day Orthosis Is a Key Factor for Improvement of Fixed Equinus Deformity after the Transverse Vulpius Procedure |
| title_full_unstemmed | Continuous Wear of Night and Day Orthosis Is a Key Factor for Improvement of Fixed Equinus Deformity after the Transverse Vulpius Procedure |
| title_short | Continuous Wear of Night and Day Orthosis Is a Key Factor for Improvement of Fixed Equinus Deformity after the Transverse Vulpius Procedure |
| title_sort | continuous wear of night and day orthosis is a key factor for improvement of fixed equinus deformity after the transverse vulpius procedure |
| topic | equinus deformity gastrocnemius release gastrocnemius–soleus aponeurotic recession |
| url | https://www.mdpi.com/2227-9067/9/2/209 |
| work_keys_str_mv | AT mathiswegner continuouswearofnightanddayorthosisisakeyfactorforimprovementoffixedequinusdeformityafterthetransversevulpiusprocedure AT katharinaikoyro continuouswearofnightanddayorthosisisakeyfactorforimprovementoffixedequinusdeformityafterthetransversevulpiusprocedure AT louisakosegarten continuouswearofnightanddayorthosisisakeyfactorforimprovementoffixedequinusdeformityafterthetransversevulpiusprocedure AT annakathrinhell continuouswearofnightanddayorthosisisakeyfactorforimprovementoffixedequinusdeformityafterthetransversevulpiusprocedure AT heikomlorenz continuouswearofnightanddayorthosisisakeyfactorforimprovementoffixedequinusdeformityafterthetransversevulpiusprocedure AT volkerdiedrichs continuouswearofnightanddayorthosisisakeyfactorforimprovementoffixedequinusdeformityafterthetransversevulpiusprocedure AT sebastianlippross continuouswearofnightanddayorthosisisakeyfactorforimprovementoffixedequinusdeformityafterthetransversevulpiusprocedure |