equinus contracture short achilles tendon
Conditions
Interventions
percutaneous gastrocnemius lengthening
Sponsors
Spaarne Ziekenhuis
Eligibility
Age
2 Years to 17 Years
Inclusion criteria
Inclusion criteria: Patients (boys and girls) between 6-18 years independent walking achieved symptomatic limited ankle dorsi flexion between -10 and 3 degrees (with knee in extension and ankle in neutral position) patient has been treated non-surgically for at least 6 month (NSAIDs, stretching, orthoses and physical therapy) Written informed consent both parents/ guardian (children 6-12 years) written informed consent both parents/ guardian and child (children 12-18 years)
Exclusion criteria
Exclusion criteria: Patients with signs of neurological, orthopaedic or psychiatric disease. Patients with mental retardation Patients with previous surgery on the ankle Patients who were already treated with castimmobilisation because of equinus contracture Patients (12 years or older) whose parents are unable to understand informed consent Patients (12 years or older) or parents who are unable to fill out questionnaires Patients (12 years or older) or parents who are unable to understand treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end-point will be ankle dorsiflexion. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end-point will be satisfaction, walking pattern, pain, complications, activity level and foot pressure. Functional outcome will be measured by: AOFAS-score and functional mobility scale (FMS). | — |
Countries
Netherlands
Outcome results
None listed