Long-term results of fibular-Achilles tenodesis (Westin's tenodesis) for paralytic pes calcaneus: is hypercorrection avoidable? A longitudinal retrospective study

International Orthopaedics
Helder Henzo Yamada, Patricia Maria Moraes de Barros Fucs

Abstract

The purpose of this study was to review all cases of patients submitted to Westin's tenodesis, who had calcaneus feet secondary to myelomeningocele sequel, in order to evaluate the anatomical change provided by surgery and also to verify, in a long-term follow-up, the inversion of the deformity depending on the patient's age. In this longitudinal retrospective study, all medical records of patients with myelomeningocele sequelae submitted to Westin's tenodesis from 1993 to 2013 in a public university hospital were reviewed. Patients were contacted for new clinical and radiographic evaluations after a minimum of 36 months after surgery. The calcaneotibial angle was measured and the shortening of the fibula was calculated as the "intermalleolar height". The study was based on 16 children (26 feet), aged 84.27 months on average at the time of tenodesis. The calcaneotibial angle increased significantly post-operatively, from 63.77 degrees on average to 70.54 degrees. Intermalleolar height and valgus ankle did not change significantly. Most patients had plantigrade feet after surgery, without pressure ulcers, and were able to use orthoses. Westin's tenodesis, with or without other associated procedures, can correct or improve the ca...Continue Reading

References

Feb 1, 1984·Developmental Medicine and Child Neurology·J P JandaP S Barto
Jul 25, 2000·Journal of Pediatric Orthopedics. Part B·B FrischhutG Menardi
Oct 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Kun Bo ParkHyun Woo Kim
Nov 26, 2009·The Journal of Bone and Joint Surgery. American Volume·Michael AkbarClaus Carstens
Dec 4, 2012·Journal of Children's Orthopaedics·Vineeta T Swaroop, Luciano Dias

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Citations

Oct 29, 2017·International Orthopaedics·Patricia M M B Fucs, Marius M Scarlat

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