Open Access
Table 3
Decision-making skills and knowledge of participants: general versus pediatric orthopedic surgeons.
| Questionnaire item | General orthopedic surgeon |
Pediatric orthopedic surgeon |
Chi-square test |
|||
|---|---|---|---|---|---|---|
| N | % | N | % | P-value | Sig. | |
| Q6: What is the most common lengthening procedure you use to treat equinus contracture in diplegic CP children? | ||||||
| A percutaneous Achilles tendon lengthening | 41 | 33 | 40 | 40 | 0.356 | NS |
| An open Achilles tendon lengthening | 48 | 39 | 30 | 30 | ||
| A more proximal gastrocsoleus aponeurotic lengthening | 34 | 28 | 30 | 30 | ||
| Q7: How do you plan for postoperative bracing? | ||||||
| I usually refer patients to rehabilitation specialist to decide on bracing/orthosis | 40 | 33 | 23 | 23 | 0.099 | NS |
| I usually instruct my patients to use a specific bracing/orthosis | 81 | 67 | 77 | 77 | ||
| Q8: The CP subtype (hemiplegic/diplegic) is an important guide to the selection of the type of lengthening procedure | ||||||
| Totally agree/agree | 74 | 60 | 65 | 65 | 0.041 | S |
| Not sure | 41 | 33 | 21 | 21 | ||
| Totally disagree/disagree | 8 | 6 | 14 | 14 | ||
| Q9: The surgeon’s surgical skills is the most important determinant of complication rates (recurrence/overcorrection) | ||||||
| Totally agree/agree | 60 | 49 | 56 | 56 | 0.171 | NS |
| Not sure | 28 | 23 | 13 | 13 | ||
| Totally disagree/disagree | 35 | 28 | 31 | 31 | ||
| Q10: The choice of the type of lengthening procedure is one of the most important determinants of complication rates (recurrence/overcorrection) | ||||||
| Totally agree/agree | 89 | 72 | 74 | 74 | 0.345 | NS |
| Not sure | 22 | 18 | 12 | 12 | ||
| Totally disagree/disagree | 12 | 10 | 14 | 14 | ||
| Q11: I do not consider the patient’s age to have a significant influence on complication rates (recurrence/overcorrection) | ||||||
| Totally agree/agree | 25 | 20 | 15 | 15 | 0.374 | NS |
| Not sure | 19 | 15 | 12 | 12 | ||
| Totally disagree/disagree | 79 | 64 | 73 | 73 | ||
| Q12: The severity of equinus deformity is one of the most important factors that determines the choice of the lengthening procedure | ||||||
| Totally agree/agree | 95 | 78 | 70 | 70.70 | 0.001 | HS |
| Not sure | 22 | 18 | 10 | 10.10 | ||
| Totally disagree/disagree | 5 | 4 | 19 | 19.20 | ||
| Q13: In case of association of equinus with multiple deformities, it is important to address all indicated deformities in one anesthetic sitting “single-stage surgery” | ||||||
| Totally agree/agree | 72 | 58 | 81 | 81 | 0.001 | HS |
| Not sure | 19 | 15 | 8 | 8 | ||
| Totally disagree/disagree | 32 | 26 | 11 | 11 | ||
N number, CP cerebral palsy, HS highly significant, S significant, NS non-significant.
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