國家衛生研究院 NHRI:Item 3990099045/4916
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/4916


    Title: Long-term outcome evaluation in young adults following clubfoot surgical release
    Authors: Graf, A;Hassani, S;Krzak, J;Long, J;Caudill, A;Flanagan, A;Eastwood, D;Kuo, KN;Harris, G;Smith, P
    Contributors: Division of Health Policy Research and Development
    Abstract: Background: The aim of this study was to evaluate the long-term outcome of a comprehensive surgical release for congenital talipes equinovarus (CTEV). Methods: Gait, strength, segmental foot motion, and outcomes questionnaire data were collected on 24 adults (21.8 +/- 2.3 y) who were surgically treated for CTEV as infants. These data were statistically compared with of 48-age group matched controls (23.2 +/- 2.4 y). Results: The clubfoot group was functional in activities of daily living, although most patients did experience foot pain after a day of typical activities, such as walking, standing, using stairs and doing exercise. Lower extremity gait kinematics was similar to the control group. There were differences in segmental foot motion with the hindfoot in a more plantarflexed position relative to the tibia and the forefoot dorsiflexed, and adducted relative to the hindfoot. Ankle plantarflexion and inversion strength and range of motion was reduced in the clubfoot group in association with an increase in hip power generation during the preswing and initial swing phases of the gait cycle. Conclusions: Surgical correction of CTEV was successful in providing a functional plantigrade foot as the patients reached adulthood. However, limitations included foot pain, limited foot range of motion, and weakness.
    Date: 2010-06
    Relation: Journal of Pediatric Orthopaedics. 2010 Jun;30(4):379-385.
    Link to: http://dx.doi.org/10.1097/BPO.0b013e3181d8fbd7
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0271-6798&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000278085500013
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=77955897587
    Appears in Collections:[Ken-Nan Kuo] Periodical Articles

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