Operative management of equinus associated with lower limb venous malformations.
Phlebology
; 37(2): 125-133, 2022 Mar.
Article
em En
| MEDLINE
| ID: mdl-34541959
ABSTRACT
OBJECTIVES:
Functional impairment is a common complaint in patients with venous malformations. Equinus can occur when the venous malformation involves the lower limb, a challenging condition with only a few studies to guide treatment choices. This study was aimed to investigate the operative management of equinus associated with lower limb venous malformations.METHOD:
Between August 2015 and September 2017, a total of 12 patients presented with equinus associated with lower limb venous malformations and underwent surgical correction. Preoperative and postoperative clinical symptoms, physical examination and orthopaedic evaluation were retrospectively reviewed. 8 patients who experienced pain underwent percutaneous sclerotherapy prior to the operation. Surgical management included gastrocnemius intramuscular aponeurotic recession, Z-lengthening of the Achilles tendon, Hoke technique and Taylor Spatial Frame external fixation.RESULTS:
There were eight female and four male patients with a mean age of 14.3 ± 5.9 years. The mean follow-up period was 34.8 ± 9 months. The range of motion of ankle dorsiflexion (with knee extended) improved for each patient (mean, 25.4 degrees; standard deviation, 8.5 degrees). No neurovascular complications were observed.CONCLUSION:
Operative correction of equinus associated with lower limb venous malformations is safe and effective. Selective preoperative sclerotherapy is necessary for optimal outcomes.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Tendão do Calcâneo
/
Pé Equino
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article