2019
DOI: 10.3390/jcm8091354
|View full text |Cite
|
Sign up to set email alerts
|

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

Abstract: Although there have been advancements of surgical techniques to correct gait abnormalities seen in patients with cerebral palsy, the crouch gait remains one of the most difficult problems to treat. The purpose of this retrospective study was to examine our results of distal femoral shortening osteotomy (DFSO) and patellar tendon advancement (PTA), performed in patients with crouch gait associated with severe knee flexion contracture. A total of 33 patients with a mean fixed knee contracture of 38° were include… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
2

Citation Types

5
11
0

Year Published

2020
2020
2024
2024

Publication Types

Select...
8
1

Relationship

1
8

Authors

Journals

citations
Cited by 14 publications
(16 citation statements)
references
References 47 publications
5
11
0
Order By: Relevance
“…Age of cases at SDR was found to be highly correlated with the changes of GDI in our retrospective statistical analysis, which was similar to the ndings in previous studies 10,26 . Such results might be attributed to the adaptability of gait training, of which younger cases usually have better plasticity for motor control 27,28 .…”
Section: Discussionsupporting
confidence: 91%
“…Age of cases at SDR was found to be highly correlated with the changes of GDI in our retrospective statistical analysis, which was similar to the ndings in previous studies 10,26 . Such results might be attributed to the adaptability of gait training, of which younger cases usually have better plasticity for motor control 27,28 .…”
Section: Discussionsupporting
confidence: 91%
“…In these cases, the optimum improvement came with surgical procedures for lengthening the hamstrings. In many cases, even after surgery, the results of hamstring lengthening were inconsistent or did not work at all [14]. The incorporation of the torsional spring was able to counter the excessive flexion moments produced [32] by applying the stored energy from knee flexion to provide the necessary knee extension [33].…”
Section: Discussionmentioning
confidence: 99%
“…Inefficiency in gait is well documented [9][10][11][12]. Complications of uncorrected crouch gait result in increasing load on the knee joint [2,13] which likely causes knee pain [5,14,15] and joint deterioration [2,16,17]. The stance phase of the gait cycle is the weightbearing portion of the gait cycle.…”
Section: Introductionmentioning
confidence: 99%
“…Extension shortening osteotomy can be performed to lengthen the extensors and flexors and compensate for the flexion contracture [14][15][16]. Based on the treatment of arthrogryposis multiplex congenita and cerebral palsy in multiple joints, soft tissue surgeries are not sufficient to correct fixed contractures; thus, bony procedures are often required.…”
Section: Introductionmentioning
confidence: 99%