Distal Femoral Shortening Osteotomy for Severe Knee Flexion Contracture and Crouch Gait in Cerebral Palsy

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Supracondylar femoral osteotomy for knee flexion contracture resulting from poliomyelitis.

Supracondylar femoral osteotomy was performed on 82 patients between 8 and 25 years of age to correct knee flexion contractures of 15 to 95 degrees resulting from poliomyelitis. Seven who could not walk before the osteotomy could do so afterwards and 21 out of22 patients were cured ofa hand-knee gait. Thirty-four of53 who walked with a caliper were able to discard it. Residual flexion contractu...

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An adolescent boy with spastic diplegic cerebral palsy presented with crouch gait. He had bilateral severe flexion deformities of knees and hips. He was treated with single event multilevel surgery for the correction of deformities. Surgical procedures included bilateral adductor release, iliopsoas lengthening, bilateral femoral shortening and patella plication. Persistent hypertension was note...

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Assessment of the Hip and Knee Flexion Contractures in Cerebral Palsy Patients with Crouch Gait Çömelme Pozisyonunda Yürüyen Beyin Felçli Hastalarda Kalça ve Dizdeki Fleksiyon

The knee is the most affected joint in children with cerebral palsy. Flexion contracture of the knee is the cause of the crouch gait pattern, instability in stance phase of gait, and difficulties during standing and sitting, and other daily living activities. Hip flexion contracture in crouch gait is mostly compensation of the knee flexion contracture and ankle equines. The psoas muscle is the ...

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ژورنال

عنوان ژورنال: Journal of Clinical Medicine

سال: 2019

ISSN: 2077-0383

DOI: 10.3390/jcm8091354