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Equino-plano-valgus foot in cerebral palsy – clinical principles and surgical techniques review (world perspective). Report from the 5th edition of the Transatlantic Orthopedic Surgery Webinar 2023

Woźniak, Łukasz ; Musielak, Bartosz ; Bernius, Peter ; Shrader, Michael Wade ; Rodby-Bousquet, Elisabet LU orcid ; Chambers, Henry G. ; Feng, Lin ; Gough, Martin ; Graham, Kerr and Inan, Muharrem , et al. (2024) In Chirurgia Narzadow Ruchu i Ortopedia Polska - Polish Orthopaedics 89(1). p.5-18
Abstract

Introduction. The fifth edition of the Transatlantic Orthopedic Surgery Webinar 2023 occurred on December 4, 2023. The webinar’s main topic was treating equino-plano-valgus foot in children with cerebral palsy (CP). The event included speakers from Austria, Australia, China, India, Canada, Germany, Poland, Sweden, Turkey, the USA and the UK. Results. The first general session presented epidemiology, biomechanics, muscle function, equino-plano-valgus foot prevention options, and the Silverskiöld test in clinical assessment. It also discussed the principles of deformation treatment, options for orthotic treatment, and pathology treatment in adults suffering from CP. The surgical sessions presented comprehensive surgical techniques for the... (More)

Introduction. The fifth edition of the Transatlantic Orthopedic Surgery Webinar 2023 occurred on December 4, 2023. The webinar’s main topic was treating equino-plano-valgus foot in children with cerebral palsy (CP). The event included speakers from Austria, Australia, China, India, Canada, Germany, Poland, Sweden, Turkey, the USA and the UK. Results. The first general session presented epidemiology, biomechanics, muscle function, equino-plano-valgus foot prevention options, and the Silverskiöld test in clinical assessment. It also discussed the principles of deformation treatment, options for orthotic treatment, and pathology treatment in adults suffering from CP. The surgical sessions presented comprehensive surgical techniques for the treatment of clubfoot equinus: sliding calcaneal osteotomy, lateral column lengthening with talonavicular arthrodesis, use of an expandable cage for the lateral column lengthening, double arthrodesis with the transfer of the peroneal muscles, percutaneous soft tissue release with/without arthroereisis, lateral column lengthening with arthroereisis, Grice procedure with talonavicular arthrodesis, lateral column lengthening with medial cuneiform bone plantarflexion osteotomy, lateral column lengthening with duplication of the talonavicular capsule, talonavicular and calcaneocuboid arthrodesis, transfer of the tibialis anterior muscle to the peroneal tertius muscle. The second general session presented methods of assessing the results of clubfoot treatment and postoperative rehabilitation protocols involving upright positioning and walking. Conclusion. The most important conclusions from the event are: clinical assessment and understanding the pathophysiology of the defect is crucial for its proper treatment; non-surgical treatment is recommended under the age of 6; between the ages of 6 and 14, surgical methods that preserve joint function predominate; after the age of 14 a large percentage of patients require performing joint arthrodesis. Nevertheless, arthrodesis should be avoided to correct flexible deformities and to treat patients with high functional requirements. The webinar audience included 583 people from 50 countries. Most participants came from Poland, Spain, Turkey, and Great Britain.

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type
Contribution to journal
publication status
published
subject
keywords
cerebral palsy, equino-plano-valgus foot, lever-arm deformities of lower limbs, plano-valgus foot
in
Chirurgia Narzadow Ruchu i Ortopedia Polska - Polish Orthopaedics
volume
89
issue
1
pages
14 pages
publisher
Exemplum Scientific Publishing House
external identifiers
  • scopus:105007566391
ISSN
0009-479X
DOI
10.31139/chnriop.2024.89.1.1
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2024, Exemplum Scientific Publishing House. All rights reserved.
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169d121b-9eb3-432f-90fc-562d9985b229
date added to LUP
2026-02-05 12:47:31
date last changed
2026-02-05 12:48:35
@article{169d121b-9eb3-432f-90fc-562d9985b229,
  abstract     = {{<p>Introduction. The fifth edition of the Transatlantic Orthopedic Surgery Webinar 2023 occurred on December 4, 2023. The webinar’s main topic was treating equino-plano-valgus foot in children with cerebral palsy (CP). The event included speakers from Austria, Australia, China, India, Canada, Germany, Poland, Sweden, Turkey, the USA and the UK. Results. The first general session presented epidemiology, biomechanics, muscle function, equino-plano-valgus foot prevention options, and the Silverskiöld test in clinical assessment. It also discussed the principles of deformation treatment, options for orthotic treatment, and pathology treatment in adults suffering from CP. The surgical sessions presented comprehensive surgical techniques for the treatment of clubfoot equinus: sliding calcaneal osteotomy, lateral column lengthening with talonavicular arthrodesis, use of an expandable cage for the lateral column lengthening, double arthrodesis with the transfer of the peroneal muscles, percutaneous soft tissue release with/without arthroereisis, lateral column lengthening with arthroereisis, Grice procedure with talonavicular arthrodesis, lateral column lengthening with medial cuneiform bone plantarflexion osteotomy, lateral column lengthening with duplication of the talonavicular capsule, talonavicular and calcaneocuboid arthrodesis, transfer of the tibialis anterior muscle to the peroneal tertius muscle. The second general session presented methods of assessing the results of clubfoot treatment and postoperative rehabilitation protocols involving upright positioning and walking. Conclusion. The most important conclusions from the event are: clinical assessment and understanding the pathophysiology of the defect is crucial for its proper treatment; non-surgical treatment is recommended under the age of 6; between the ages of 6 and 14, surgical methods that preserve joint function predominate; after the age of 14 a large percentage of patients require performing joint arthrodesis. Nevertheless, arthrodesis should be avoided to correct flexible deformities and to treat patients with high functional requirements. The webinar audience included 583 people from 50 countries. Most participants came from Poland, Spain, Turkey, and Great Britain.</p>}},
  author       = {{Woźniak, Łukasz and Musielak, Bartosz and Bernius, Peter and Shrader, Michael Wade and Rodby-Bousquet, Elisabet and Chambers, Henry G. and Feng, Lin and Gough, Martin and Graham, Kerr and Inan, Muharrem and Johari, Ashok and Krebs, Alexander and Lalor, Simon and Narayanan, Unni and Novacheck, Tom and Jóźwiak, Marek}},
  issn         = {{0009-479X}},
  keywords     = {{cerebral palsy; equino-plano-valgus foot; lever-arm deformities of lower limbs; plano-valgus foot}},
  language     = {{eng}},
  month        = {{03}},
  number       = {{1}},
  pages        = {{5--18}},
  publisher    = {{Exemplum Scientific Publishing House}},
  series       = {{Chirurgia Narzadow Ruchu i Ortopedia Polska - Polish Orthopaedics}},
  title        = {{Equino-plano-valgus foot in cerebral palsy – clinical principles and surgical techniques review (world perspective). Report from the 5th edition of the Transatlantic Orthopedic Surgery Webinar 2023}},
  url          = {{http://dx.doi.org/10.31139/chnriop.2024.89.1.1}},
  doi          = {{10.31139/chnriop.2024.89.1.1}},
  volume       = {{89}},
  year         = {{2024}},
}