Secondary Logo

Institutional members access full text with Ovid®

Pes planovalgus deformity in children with cerebral palsy: review article

Kadhim, Muayad; Miller, Freeman

Journal of Pediatric Orthopaedics B: September 2014 - Volume 23 - Issue 5 - p 400–405
doi: 10.1097/BPB.0000000000000073
FOOT & ANKLE
Buy

Pes planovalgus deformity is common in children with cerebral palsy. In planovalgus foot, the talus subluxates medially, the calcaneus is in valgus, and the forefoot is in supination and external rotation related to the midfoot. In young children, mild planovalgus feet can be managed with orthotics. Surgery is indicated if the deformity is not reducible or if the patient cannot tolerate orthotics during functional activities. The surgery can be calcaneal lengthening or subtalar fusion to restore a stable plantigrade foot and achieve hindfoot correction. Medial column fusion is important to reconstruct the medial arch in severe planovalgus feet.

Department of Orthopaedics, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA

Correspondence to Freeman Miller, MD, Department of Orthopaedics, Nemours/Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE 19899, USA Tel: +1 302 651 5921; fax: +1 302 651 5951; e-mail: fmiller@nemours.org

© 2014 by Lippincott Williams & Wilkins, Inc.