Long-term follow-up after patellar tendon shortening for flexed knee gait in bilateral spastic cerebral palsy.

Gait & Posture
Daniela Barbara KuchenErich Rutz

Abstract

Flexed knee gait is a common gait dysfunction in individuals with bilateral spastic cerebral palsy (BSCP) and is often addressed with single event multilevel surgery (SEMLS). SEMLS has been shown to have positive short-term effects especially on sagittal knee joint kinematics with less knee flexion during stance phase. However, mid- and long-term observations are rare, and results are reported in discrete parameters or summary statistics where temporal aspects are not considered. Does the improved knee joint kinematics after patellar tendon shortening (PTS) as part of SEMLS persist in the long-term in individuals with BSCP? Data of instrumented gait analysis of twelve participants (females/males: 5/7, mean age: 15.3 ± 3.4 years) with BSCP treated with PTS as part of SEMLS were retrospectively analyzed. Participants had had follow-up gait analysis 1, 5 and 7 years or more after surgery. Three-dimensional lower extremity kinematics of walking at a self-selected speed were collected using a 12-camera motion capture system and 4 embedded force plates. One-dimensional statistical parametric mapping (SPM) was used for data analysis, permitting time point comparisons of continuous data. Time point comparison revealed no significant di...Continue Reading

References

May 1, 1990·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·M P KadabaM E Wootten
Nov 27, 1999·Gait & Posture·R L Waters, S Mulroy
Jan 22, 2003·Gait & Posture·B W StansfieldJ E Robb
Feb 26, 2003·The Australian Journal of Physiotherapy·Dinah S Reddihough, Kevin J Collins
Nov 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Jean L StoutTom F Novacheck
Mar 4, 2011·The Journal of Bone and Joint Surgery. American Volume·Pamela ThomasonH Kerr Graham
Jul 16, 2011·Computer Methods in Biomechanics and Biomedical Engineering·Todd C Pataky
Jan 4, 2013·Clinical Orthopaedics and Related Research·Erich RutzReinald Brunner
Jan 26, 2013·Developmental Medicine and Child Neurology·Maryam OskouiTamara Pringsheim
Jan 17, 2014·Journal of Children's Orthopaedics·Thierry HaumontFreeman Miller
May 7, 2014·Journal of Evaluation in Clinical Practice·Richard W Bohannon, Susan S Glenney
Aug 8, 2014·Der Orthopäde·S Senst
Feb 24, 2015·Gait & Posture·Roberto SossaiErich Rutz
Dec 1, 2012·Journal of Clinical Orthopaedics and Trauma·Anil Agarwal, Indreshwar Verma
Nov 25, 2017·Developmental Medicine and Child Neurology·Thomas DreherH K Graham
Jan 4, 2018·The Journal of Bone and Joint Surgery. American Volume·Elizabeth R BoyerTom F Novacheck

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Citations

Feb 24, 2021·Archives of Orthopaedic and Trauma Surgery·Rosa VisscherErich Rutz

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