Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
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Rev Chir Orthop Reparatrice Appar Mot · Nov 2001
Comparative Study[Dynamic pedobarography in postoperative evaluation of pes cavovarus].
Pes cavovarus is a complex deformity of the forefoot, the midfoot and the hindfoot, frequently of neuropathologic etiology. The goals of surgical interventions consist of anatomical and functional correction of the foot deformity by soft tissue and bony procedures. Preoperative planning and postoperative assessment are based on clinical and radiographic examination. The present study was undertaken to find out if pedobarographic outcomes correlate with those postoperative results and if the dynamic pedobarography provides useful information in the functional evaluation of cavovarus feet. ⋯ Pre- and postoperative assessment of the cavovarus foot is mainly based on static methods such as clinical and radiographic evaluation. The results of this study demonstrate that the dynamic measurement of plantar peak pressures and contact area offers limited information about functional and anatomical improvement after surgery. Patients with severe deformities and muscular discoordination have difficulties walking consistently on the platform at each trial and severe decrease of plantar contact area makes the exact positioning of the masks difficult, which leads to problems with standardised measurements. In this context, the dynamic pedobarography cannot be used as a profitable diagnostic tool which provides an objective measurement that can add a dynamic component to a clinical or radiographic examination.