Response to letter re: Comparison of hamstring lengthening with hamstring lengthening plus transfer for treatment of flexed knee gait in ambulatory patients with cerebral palsy

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Comparison of hamstring transfer with hamstring lengthening in ambulatory children with cerebral palsy: further follow-up

BACKGROUND Overactivity or contractures of the hamstring muscles in ambulatory children with cerebral palsy (CP) can lead to either a jump gait (knee flexion associated with ankle plantar flexion) or a crouch gait (knee flexion associated with ankle dorsiflexion). Hamstring lengthening is performed to decrease stance knee flexion. However, this procedure carries the potential risk of weakening ...

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Percutaneous Versus Open Hamstring Lengthening in Spastic Diplegic Cerebral Palsy

Background: Open hamstring lengthening (oHSL) is commonly performed to decrease knee contracture and improvegait and posture for children with spastic diplegia. Furthermore, percutaneous hamstring lengthening (pHSL) is alsogaining popularity as an alternative to the open approach. This study aimed to compare the results of pHSL versusoHSL and to determine the efficacy and safe...

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Lateral Hamstring Tendon Transfer around the Lateral Gastrocnemius Head and Medial Hamstring Lengthening to Correct Crouch Gait in Diaplegic Spastic Cerebral Palsy

Background: Hamstring muscles contracture is a major problem in the management of the cerebral palsy CP patient causing the crouch gait which is one of the most resistant conditions to treat. Methods: Twenty patients (40 knees) with spastic cerebral palsy diaplegia, between 7 – 12 years of age, presented to The National Institute of Neuromotor System of Egypt, from January 2010 to January 2011....

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Effects of distal hamstring lengthening on sagittal motion in patients with diplegia: hamstring length and its clinical use.

This study was undertaken to determine the effect of distal hamstring lengthening (DHL) on hip and knee sagittal kinematics, and to investigate the validity of modeled hamstring length for clinical use. Patient group consisted of 28 patients (56 limbs, mean age 7.4 years) with spastic diplegia who underwent bilateral DHL and tendo-Achilles lengthening with/without rectus femoris transfer (RFT) ...

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ژورنال

عنوان ژورنال: Journal of Children's Orthopaedics

سال: 2012

ISSN: 1863-2521,1863-2548

DOI: 10.1007/s11832-012-0447-6