Computer plantography as a diagnostic method for congenital clubfoot in children

Abstract

Examination of the anatomical and functional states of feet in children with congenital clubfoot is an urgent priority that has significant theoretical and practical value. The purpose of the study was to investigate the morphological and functional parameters of the foot to evaluate the degree of affection of its support function in congenital clubfoot using the technique of computer plantography. Plantographic characteristics of the feet were determined in 65 children with this disorder, aged from 4 to 16 years. The mathematical processing of plantographic characteristics of the feet was performed using the following; the calcaneo-axial and the calcaneo-metatarsal angles and the angle between the outer tangents on the basis of what were defined border values of angles, depending on the severity of foot deformities. The proposed method of analysis of the foot plantogram is statistically significant for the classification of congenital clubfoot with different degrees of severity: mild, moderate, and severe. This technique is an addition to the clinical and X-ray methods and allows the evaluation of functional support for the feet.

Keywords

foot / clubfoot / plantography

References

[1] Wong RA, Lusard MM. Evidence-based approach to ortotic and prosthetic rehabilitation. Ortotics and Prosthetic in Rehabilitation. Elsevier: 2007;109-134.

[2] О’Connor K, Bragdon G, Baumhauer JF. Sexual dimorphism of the foot and ankle. Orthop Clin North Am. 2006;37(4):569-574. doi:10.1016/j.ocl.2006.09.008.

[3] Krishan K, Kanchan T, Sharma A. Sex determination from hand and foot dimensions in a North Indian population. J Forensic Sci. 2011;56(2):453-459. doi:10.1111/j.1556-4029.2010.01652.x.

[4] Перепелкин А.И., Мандриков В.Б., Краюшкин А.И. Влияние дозированной нагрузки на изменение структуры и функции стопы человека: монография. - Волгоград: Изд-во Волг. ГМУ, 2012.

[5] Краюшкин А.И., Перепелкин А.И., Смаглюк Е.С., Сулейманов Р.Х. Характеристика анатомофункциональных параметров стоп юношей с использованием компьютерной плантографии // Вестник новых медицинских технологий. - 2011. - № 2. - С. 258.

[6] Клычкова И.Ю. Система комплексного лечения детей с врожденной косолапостью: дис. … д-ра мед. наук. СПб., 2013. 432 с.

[7] Наумочкина Н.А., Никитюк И.Е. Вовлечение спинного мозга в патологический процесс при родовых повреждениях плечевого сплетения (биомеханическое исследование) // Врач-аспирант. - 2013. - № 1.3 (56). - С. 388-396.

RIGHTS & PERMISSIONS

Nikityuk I.E., Klychkova I.Y.