PMID: 9449107Feb 4, 1998Paper

Kinematic and kinetic analysis of distal derotational osteotomy of the leg in children with cerebral palsy

Journal of Pediatric Orthopedics
R M StefkoH G Chambers

Abstract

Patients with cerebral palsy often develop rotational deformities of the lower extremities. These deformities may be caused by abnormal muscle tone, soft-tissue contractures, or bony malalignment. When rotational deformity persists after correction of the soft-tissue components, bony-realignment procedures are warranted to improve gait in ambulatory patients. We performed a retrospective review of 10 ambulatory children with cerebral palsy and tibial torsion who underwent 13 distal tibial and fibular derotation osteotomies. Preoperative and postoperative three-dimensional gait analysis were used to determine the effect of distal tibial and fibular derotation osteotomy on tibial rotation, foot-progression angle, gait velocity, and moments about the ankle. Mean tibial rotation and foot-progression angle were significantly improved by the procedure. Gait velocity improved but not significantly. Moment data demonstrated a trend toward normal. This study demonstrates that the derotational distal tibial and fibular osteotomy stabilized with percutaneous crossed Kirschner wires is a safe, reliable, and effective procedure for correcting rotational deformities of the leg in patients with cerebral palsy.

References

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Sep 1, 1994·Journal of Pediatric Orthopedics·M Manouel, L O Johnson
Sep 1, 1994·Journal of Pediatric Orthopedics·T Rattey, J Hyndman
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Citations

Jun 16, 2005·Gait & Posture·Sebastian WolfRalf Mikut
May 28, 2011·Gait & Posture·Jennifer L HicksMichael H Schwartz
Jan 16, 2008·Physical Medicine and Rehabilitation Clinics of North America·Sherilyn W Driscoll, Joline Skinner
Apr 16, 2016·Journal of Biomechanics·Elisabeth JensenKenton Kaufman
Jan 23, 2009·Clinical Orthopaedics and Related Research·Sang Hyeong LeeTae-Joon Cho
Feb 28, 2001·Journal of Child Neurology·R Woo
Jun 27, 2007·Developmental Medicine and Child Neurology·Scott M PaulRobert J Jaeger
May 16, 2018·Acta orthopaedica et traumatologica turcica·Ilker Abdullah SarikayaMuharrem Inan
May 18, 2016·Nature Reviews. Disease Primers·H Kerr GrahamRichard L Lieber

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