Symptomatic flatfoot in cerebral palsy. Curr Opin Pediatr 2024 Feb 01;36(1):98-104
Date
10/24/2023Pubmed ID
37872808DOI
10.1097/MOP.0000000000001300Scopus ID
2-s2.0-85181464963 (requires institutional sign-in at Scopus site)Abstract
PURPOSE OF REVIEW: The purpose of this review is to evaluate the current literature and best practices in the evaluation and treatment of symptomatic flatfoot in cerebral palsy.
RECENT FINDINGS: While techniques to reconstruct the neuromuscular flatfoot and reestablish bony levers have remained similar over time, the concept of surgical dosing has helped guide appropriate interventions based on the magnitude of disease and functional level of the child. Moreover, the utilization of multisegment foot modeling in motion analysis has allowed quantitative description of such deformities and their impact on gait.
SUMMARY: Future research should focus on refining operative indications and interventions with larger, multicenter, prospective cohorts to provide more robust evidence in surgical decision making. Long-term data are needed to confirm and compare efficacy of procedures. Radiographic data alone are not sufficient for describing functional foot position. Gait analysis with foot modeling and pedobarography along with patient-centered subjective outcomes will be needed in such investigations to make conclusive recommendations.
Author List
Lenhart RL, Goodbody CMAuthor
Rachel L. Lenhart MD Assistant Professor in the Orthopaedic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Cerebral PalsyChild
Flatfoot
Foot
Gait
Humans
Multicenter Studies as Topic
Prospective Studies
