Decision-making skills and knowledge of participants: general versus pediatric orthopedic surgeons.
|Questionnaire item||General orthopedic surgeon
||Pediatric orthopedic surgeon
|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|
|Q9: The surgeon’s surgical skills is the most important determinant of complication rates (recurrence/overcorrection)|
|Q10: The choice of the type of lengthening procedure is one of the most important determinants of complication rates (recurrence/overcorrection)|
|Q11: I do not consider the patient’s age to have a significant influence on complication rates (recurrence/overcorrection)|
|Q12: The severity of equinus deformity is one of the most important factors that determines the choice of the lengthening procedure|
|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”|
N number, CP cerebral palsy, HS highly significant, S significant, NS non-significant.
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