2014, Number 611
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Rev Med Cos Cen 2014; 71 (611)
Alargamiento del peroné en tobillos valgos en una paciente con paralisis cerebral infantil espastica ambulatoria
Ramírez RT, Sáenz ML, Arroyo CR, Sanabria ÁG, Fernández GLE
Language: Spanish
References: 12
Page: 481-484
PDF size: 372.52 Kb.
ABSTRACT
Ankle valgus is an insidious
deformity that may develop
during childhood due to a
variety of etiologies including
cerebral palsy. This may be
concomitant, with or mistaken
for hind foot valgus. These
conditions pathology alter the
growth rate of the distal fibula
resulting in shortening and
ankle valgus. These patients
have problems with the ankle
foot orthotics, anti-esthetical
appearance and dermal ulcers.
This case report is about a 9 year
11 months old female patient
with spastic cerebral infantile
palsy with bilateral valgus ankle
Malhotra 3, who had her fibula
lengthened. With this report
we try to demonstrate how the
use of a fibular lengthening
is a predictable method, with
results that can be appreciated
in an early manner with
relatively few complications
and that correct the deformity
in its most pathological site.
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