Felice Carabellese, Alan R Felthous, Donatella La Tegola, Giuseppina Piazzolla, Salvatore Distaso, Giancarlo Logroscino, Antonio Leo, Antonio Ventriglio, Roberto Catanesi
Qualitative analysis of the capacity to consent to treatment in patients with a chronic neurodegenerative disease: Alzheimer's disease / Analisi qualitativa sulla capacità a prestare consenso al trattamento in pazienti con malattie cronico degenerative neuropsicoorganiche: Demenza di Alzheimer
The International journal of social psychiatry
introduction planovalgus deformity common children spastic cerebral palsy cp particularly spastic diplegia spastic quadriplegia results muscle imbalance immature foot skeleton leading hindfoot valgus forefoot abduction joint subluxation surgical interventions like calcaneal lengthening osteotomy clo frequently employed correct deformity objective guidelines use cp patients lacking material methods retrospective cohort study examined efficacy clo correcting plano valgus deformity pediatric cp patients pediatric orthopedic unit christian medical college cmc vellore india data patient records radiographs collected including demographics pre postoperative angles surgical details statistical analysis performed assess changes angles associations various factors results surgery notable enhancement calcaneal pitch lateral talofirst metatarsal angle naviculocuboid overlap shown clo results however tibiocalcaneal angles show significant changes associations observed age gross motor function classification system gmfcs level additional surgeries postoperative angle corrections conclusion clo shows promise correcting plano valgus deformity age gmfcs level comorbidities influencing outcomes longterm followup crucial monitor correction durability specific radiographic angles provide insights clos biomechanical effects study limitations warrant caution interpretation clo effectively corrects plano valgus deformity pediatric cp patients age gmfcs level comorbidities influencing outcomes longterm followup research needed optimize management strategies enhance understanding surgical outcomes