Surgical management of the lower extremity in ambulatory children with cerebral palsy.
نویسنده
چکیده
Despite the increasing popularity of nonorthopaedic treatment alternatives for children with cerebral palsy, bony and soft-tissue surgery remains a common component in the management of ambulatory patients. Multisite simultaneous tendon surgery provides improvement in gait by addressing hip, knee, and ankle contractures together. Careful preoperative physical examination is required; computerized gait analysis can be useful in confirming a plan for multiple tendon surgeries. Rotational osteotomies can improve transverse-plane malalignment. Shorter periods of immobilization and aggressive postoperative gait training and strengthening may optimize improvements in gait.
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ورودعنوان ژورنال:
- The Journal of the American Academy of Orthopaedic Surgeons
دوره 12 3 شماره
صفحات -
تاریخ انتشار 2004