DOI: https://doi.org/10.22263/2312-4156.2024.1.49
O.N. Vasko, A.A. Sakalouski, I.A. Ilyasevich, A.V. Drozd
Clinical and physiological approach to diagnosing and treatment of congenital clubfoot in children under five years of age
Republican Scientific and Practical Center of Traumatology and Orthopedics, Minsk, Republic of Belarus
Vestnik VGMU. 2024;23(1):49-57.
Abstract.
Congenital clubfoot is a complex malformation of the foot, which is accompanied by pathologic changes in the bone, joint, nervous and vascular systems of the lower extremities. Features of the functional state of the neuromuscular system are one of the most important factors influencing the restoration of foot function after surgical correction of congenital clubfoot in children under 5 years of age.
Objectives. To neurophysiologically evaluate the specific features of the functional state of the neuromuscular system of the lower limbs in children under 5 years of age with congenital clubfoot of different genesis before and after surgical treatment.
Material and methods. Neurophysiological studies of the neuromuscular system as well as clinical and radiological monitoring were performed before and after surgical treatment in 40 patients aged 3-5 years with congenital clubfoot of various origin.
Results. The data obtained by analyzing the results of complex neurophysiological and clinical-radiological studies allowed us to quantitatively estimate the influence of the functional state disturbances of the neuromuscular system in young children on restoring the foot function.
Conclusions. Congenital clubfoot of various origin is accompanied by bilateral changes in the functions of the neuromuscular system, characterized by a decrease in the motor function of the muscles of the legs and feet, changes in the conductivity of the peripheral nerves of the lower extremities and the signs of motor insufficiency of the lumbosacral roots of the spinal cord, the severity of which dominates in patients with congenital anomalies development of the lumbar spine.
Keywords: congenital clubfoot, electromyography, evoked responses, transcranial magnetic stimulation, lumbosacral spinal cord segments, achillotomy, tendon-muscular plasty.
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Information about authors:
O.N. Vasko – research officer at the Laboratory of Clinical Electrophysiology, Republican Scientific and Practical Center of Traumatology and Orthopedics,
e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Olga N. Vasko;
A.A. Sakalouski – Doctor of Medical Sciences, professor, head of the Laboratory of Orthopedics and Traumatology of Children and Adolescents, Republican Scientific and Practical Center of Traumatology and Orthopedics;
I.A. Ilyasevich – Doctor of Biological Sciences, associate professor, head of the Laboratory of Clinical Electrophysiology, Republican Scientific and Practical Center of Traumatology and Orthopedics;
A.V. Drozd – associate research officer at the Laboratory of Orthopedics and Traumatology of Children and Adolescents, Republican Scientific and Practical Center of Traumatology and Orthopedics.
