Hoekstra, Maaike Marie (2024) The added value of gait analysis for the diagnosis and treatment of recurrent clubfoot. thesis, Medicine.
Full text available on request.Abstract
Background Currently the diagnosis and treatment plan of recurrent clubfoot are made by the paediatric orthopaedic surgeon, based on their clinical findings, but without objective data. Since 2019, the University Medical Centre Groningen (UMCG) added gait analysis to the diagnostic measurements for clubfoot patients. This study aims to research the added value of gait analysis for the diagnosis and treatment of recurrent clubfoot. Method Patients with recurrent clubfoot or clubfeet, selected from the orthopaedic department of the UMCG, were screened on eligibility. Data from the first consultation to a paediatric orthopaedic surgeon, after the first symptoms of relapse were present, were compared to the findings in the report of the gait analysis. Results In total, 16 patients were included: 75% male, median age of 5 years of onset symptoms relapse, 44% with an unilateral clubfoot and 81% with an idiopathic clubfoot. In every case, additional aspects for the diagnosis were found after the gait analysis, compared to the information available before gait analysis. In 11 cases (69%) this regarded dynamic supination, in three cases (19%) midfoot break, and in 14 cases (88%) early heel rise. In all cases, the recommendation about the conservative treatment plan was changed after gait analysis. In 14 cases (88%), the surgical plan was also adjusted, this varied between adding Achilles tendon lengthening (ATL) to the recommended plan, adding or removing tibialis anterior tendon transfer (TATT) to or from the plan, and adding osteotomy to the plan. Conclusion Gait analysis has an added value for diagnosis and treatment of recurrent clubfoot. More information about dynamic supination helps to evaluate the need for a TATT procedure. Observation of early heel rise leads to recommendations of an ATL. Osteotomy is advised after observing structural deformities.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | dr. Bos, GJFJ and dr. Moerman, S |
| Faculty: | Medical Sciences |
| Date Deposited: | 23 Sep 2024 11:57 |
| Last Modified: | 23 Sep 2024 11:57 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3761 |
Actions (login required)
 |
View Item |