The Experts below are selected from a list of 456 Experts worldwide ranked by ideXlab platform
Erich Rutz - One of the best experts on this subject based on the ideXlab platform.
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tibialis anterior tendon shortening in combination with achilles tendon lengthening in spastic equinus in cerebral palsy
Gait & Posture, 2009Co-Authors: Erich Rutz, Richard Baker, Oren Tirosh, Jacqueline Romkes, Celina Haase, Reinald BrunnerAbstract:Equinus is the commonest deformity in cerebral palsy (CP). Many different surgical procedures have been described for the treatment of spastic equinus. In long standing equinus deformities the tibialis anterior muscle becomes elongated which is one reason for muscle weakness. Surgical tendon shortening of the tibialis anterior tendon was therefore introduced to rebalance muscle strength. All patients with CP who had a tibialis anterior tendon shortening (TATS) in combination with a tendo Achilles lengthening (TAL) were included in this study. A total of 29 patients had 30 surgical interventions (21 hemiplegic patients: 14 boys/7 girls, age 9-22 years; mean 15.2 years; 5 diplegics and 3 quadriplegics; 5 boys/3 girls, age 7-37.5 years; mean 14.8 years). Fifteen patients had additional surgery (soft tissue or bony procedures). The TATS was performed at the distal insertion with transosseous tendon fixation in the medial Cuneiform Bone at the original place. Movement Analysis Profile (MAP) for ankle dorsi-/plantarflexion, Gait Profile Score (GPS), Gait Deviation Index (GDI), and Gillette Gait Index (GGI) improved significantly for all patients compared pre- to postoperatively. In 93% of the patients active dorsiflexion of the ankle was possible postoperatively. We conclude that TATS in combination with TAL in spastic equinus in CP is a safe procedure and improves but not completely corrects foot positioning during gait. For the treatment of spastic equinus in CP we recommend shortening of the elongated antagonist (TATS) in combination with lengthening of the short agonist (TAL) for achieving optimal postoperative function.
Qi Han - One of the best experts on this subject based on the ideXlab platform.
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value of spiral ct examination for diagnosis of occult fracture of ankle and foot
China Journal of Orthopaedics and Traumatology, 2011Co-Authors: Jing Jin, Ying Zhu, Hua Shao, Qi HanAbstract:OBJECTIVE To investigate the value of spiral CT examination for diagnosis occult fracture of the patients with negative result of X-ray examination and with high suspicion of fractures,so as to reduce misdiagnosis. METHODS From January 2007 to June 2010, 31 patients with ankle trauma performed spiral CT examination, including 18 males and 13 females, ranging in age from 21 to 67 years, with a mean of 35 years. The main symptoms of the patients included ankle pain, local swelling, obvious tenderness and activity limitation. All the patients had negative results of X-ray examination. RESULTS The spiral CT examination revealed 11 patients with fractures, involving a total of 17 points. Single fracture were found in 6 cases,and multiple fractures were found in 5 cases. Among single fractures, the lateral malleolus fracture was found in 1 case, talus fracture was found in 1 case, scaphoid fracture was found in 1 case, the fracture of the base of 5th metatarsal base was found in 1 case and calcaneal fractures were found in 2 cases. Within multiple fractures,internal and lateral malleolus fracture were found in 1 case; medial malleolus, calcaneus and talus fractures were found in 1 case; talus and scaphoid fractures were found in 1 case; the fractures of 1st and 2nd Cuneiform Bone were found in 1 case; the 2nd and 3rd metatarsal base fracture was found in 1 case. CONCLUSION For the patients with negative X-ray examination and high suspicion of fractures,the spiral CT examination is needed, which could significantly improve the detection rate of occult fractures, and provide imaging basis for clinical treatment and judicial identify.
Reinald Brunner - One of the best experts on this subject based on the ideXlab platform.
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tibialis anterior tendon shortening in combination with achilles tendon lengthening in spastic equinus in cerebral palsy
Gait & Posture, 2009Co-Authors: Erich Rutz, Richard Baker, Oren Tirosh, Jacqueline Romkes, Celina Haase, Reinald BrunnerAbstract:Equinus is the commonest deformity in cerebral palsy (CP). Many different surgical procedures have been described for the treatment of spastic equinus. In long standing equinus deformities the tibialis anterior muscle becomes elongated which is one reason for muscle weakness. Surgical tendon shortening of the tibialis anterior tendon was therefore introduced to rebalance muscle strength. All patients with CP who had a tibialis anterior tendon shortening (TATS) in combination with a tendo Achilles lengthening (TAL) were included in this study. A total of 29 patients had 30 surgical interventions (21 hemiplegic patients: 14 boys/7 girls, age 9-22 years; mean 15.2 years; 5 diplegics and 3 quadriplegics; 5 boys/3 girls, age 7-37.5 years; mean 14.8 years). Fifteen patients had additional surgery (soft tissue or bony procedures). The TATS was performed at the distal insertion with transosseous tendon fixation in the medial Cuneiform Bone at the original place. Movement Analysis Profile (MAP) for ankle dorsi-/plantarflexion, Gait Profile Score (GPS), Gait Deviation Index (GDI), and Gillette Gait Index (GGI) improved significantly for all patients compared pre- to postoperatively. In 93% of the patients active dorsiflexion of the ankle was possible postoperatively. We conclude that TATS in combination with TAL in spastic equinus in CP is a safe procedure and improves but not completely corrects foot positioning during gait. For the treatment of spastic equinus in CP we recommend shortening of the elongated antagonist (TATS) in combination with lengthening of the short agonist (TAL) for achieving optimal postoperative function.
Jing Jin - One of the best experts on this subject based on the ideXlab platform.
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value of spiral ct examination for diagnosis of occult fracture of ankle and foot
China Journal of Orthopaedics and Traumatology, 2011Co-Authors: Jing Jin, Ying Zhu, Hua Shao, Qi HanAbstract:OBJECTIVE To investigate the value of spiral CT examination for diagnosis occult fracture of the patients with negative result of X-ray examination and with high suspicion of fractures,so as to reduce misdiagnosis. METHODS From January 2007 to June 2010, 31 patients with ankle trauma performed spiral CT examination, including 18 males and 13 females, ranging in age from 21 to 67 years, with a mean of 35 years. The main symptoms of the patients included ankle pain, local swelling, obvious tenderness and activity limitation. All the patients had negative results of X-ray examination. RESULTS The spiral CT examination revealed 11 patients with fractures, involving a total of 17 points. Single fracture were found in 6 cases,and multiple fractures were found in 5 cases. Among single fractures, the lateral malleolus fracture was found in 1 case, talus fracture was found in 1 case, scaphoid fracture was found in 1 case, the fracture of the base of 5th metatarsal base was found in 1 case and calcaneal fractures were found in 2 cases. Within multiple fractures,internal and lateral malleolus fracture were found in 1 case; medial malleolus, calcaneus and talus fractures were found in 1 case; talus and scaphoid fractures were found in 1 case; the fractures of 1st and 2nd Cuneiform Bone were found in 1 case; the 2nd and 3rd metatarsal base fracture was found in 1 case. CONCLUSION For the patients with negative X-ray examination and high suspicion of fractures,the spiral CT examination is needed, which could significantly improve the detection rate of occult fractures, and provide imaging basis for clinical treatment and judicial identify.
Bahtiyar Demiralp - One of the best experts on this subject based on the ideXlab platform.
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osteochondrosis of the medial Cuneiform Bone in a child a case report and review of 18 published cases
Foot and Ankle Specialist, 2013Co-Authors: Zafer Atbasi, Ozkan Kose, Tolga Ege, Omer Faruk Egerci, Bahtiyar DemiralpAbstract:Although, osteochondrosis of tarsal and metatarsal Bones are frequent in children, involvement of the Cuneiform Bone is rare. Because of its rarity, the relevant literature is composed of small cas...
