Presentation and Treatment Modalities of Foot and Ankle Deformities among Pediatric Patients with Cerebral Palsy Attending Clinic at Muhimbili National Hospital and Muhimbili Orthopedic Institute

Abstract

Foot and ankle deformities are among the common deformities that affect children with cerebral palsy, the variations of the deformities varies greatly in the type and severity among cerebral palsy patients that leads to the various treatment modalities individualized to best fit the patient being treated. There is currently a lack of empirical data with regard to the prevalence and distributions of these deformities and therefore difficult to establish a unified treatment protocol. This study explores current treatment modalities of foot and ankle deformities and aim to guide clinicians to make informed decisions on the best treatment plans. Objective: To determine clinical profile and treatment modalities of foot and ankle deformities among pediatric patients with cerebral palsy attending clinic at MNH and MOI. Study Design: It is a prospective descriptive cross-sectional study. Material and Method: 196 patients were recruited for the study from cerebral palsy clinics at MNH and MOI after ethical clearance has been given by the governing bodies. Patients were given a verbal and written informed consent. These patients were there interviewed using a guided questionnaire and further examined for foot and ankle deformities Results: 201 patients were recruited for the study, Foot and ankle deformities were found in 119(59.2%) of the patients recruited, the majority of the deformity was Equinus accounting for 42.86%. Treatment were either surgical or non-operative. Conclusion: The management of Cerebral Palsy patients require a multidisciplinary approach, orthopedic surgery plays a key role in the management of musculoskeletal deformities.