3+4+Supplementum/2012 - Společnost pro pojivové tkáně

The main advantage of Si-CAP (Actifuse)
application against spongioplasty is preservation
of iliac bone, prevention of bleeding
from another wound and shortening of the
surgery, etc.
The X-rays 10 months after surgery
proved healing of osteotomy and progressive
remodelling of Si-CAP in cortical gaps
even under the rigid plate.
On the basis of biomechanical relations,
remodelling of medial and lateral
femoral corticalis (10 months after one
stage lengthening) under a rigid lateral
plate shielding was explained.
aBSTRakT
THe fOOT in CHildRen
in kindeRGaRTen and
SCHOOl aGe – RiSkS,
defORMaTiOn, HOw TO
TReaT, HOw TO PReVenT?
PROPeR SHOeS. knOwledGe
fOR PediaTRiCianS and
ORTHOPediSTS
Karski J., Kędzierski Z., Karski T., Karska K.
introduction
A very common problem that parents
provide Orthopedic Outpatients Clinics
are their children’s foot deformities. They
may be congenital - the residual equinus
-varus deformity (recent and residual club
foot), forefoot congenital adduction but
usually flat and valgus foot are – mostly
connecting with laxity. These deformations
are typically for children with MBD
(minimal brain dysfunction) and ADHD.
Parents of all respondents are asking - what
shoes best for their children?
Material
ambul_centrum@volny.cz
Study was based on the material 250 preschool
(kindergarten) children and children
of the first (1 to 3) classes of primary
schools reporting to the Military Hospital
Outpatient Clinic and to the Outpatient
Clinic of Orthopaedics and Rehabilitation
Depatment Medical University in Lublin,
and to “own” Praxis.
Types of foot deformities
Two types of deformation was distinguish.
These were: valgus deformity of
the foot and flat foot deformity often connection
with flat foot. The most common
cause were the mild dysfunction of neuro –
muscular (MBD) system, leading to a shortening
of m. triceps surae and Achilles
tendon contracture (QST / quick stress
test positive). Less frequently occurred at
the same time shortening (contracture) of
pronators muscles. In all children we saw
signs of laxity too (according to Wynne
Davies scale).
kinezytherapy and supplies
footwear in treatment
In all treated children we have used /
advice crutching’s maneuvers for the m
triceps surae and Achilles tendon, with
additionally thermo – therapy, supination
inserts for shoe for walking. Early stretching
treatment give good results, but the therapy
should be prorogated so long time, as child
growths up. For every child we plan appropriate
footwear. In older children we have
performed operations by Grice – Green.
Yearly (1970–2012) in our Orthopaedic
Pediatric Department we carry out such
operations from 10 to 15 cases.
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