Rectus femoris transfer in children with cerebral palsy: evaluation of transfer site and preoperative indicators

Journal of Pediatric Orthopedics
Komalam MuthusamyFranklin M Chang

Abstract

Rectus femoris transfer (RFT) is a treatment option for children with cerebral palsy (CP) who exhibit a stiff-knee gait pattern. The rectus femoris muscle is transferred to different sites to overcome problems such as tripping and falling. Indications for RFT often include preoperative decreased knee range of motion (KROM) during swing phase, reduced peak knee flexion in swing (PKFSW), abnormal rectus femoris firing patterns on electromyography recordings, and a positive Duncan-Ely test. This study investigated the effect of different RFT sites on kinematic outcome variables and evaluated the relationship between commonly used preoperative surgical indicators and postoperative changes in kinematics. Thirty-eight patients with CP, who underwent RFT, with preoperative and postoperative instrumented gait analyses, were evaluated and divided by transfer site: semitendinosus, sartorius, and gracilis. Preoperative and postoperative comparisons were made for 5 knee kinematic variables: range of motion (KROM), peak flexion at loading response, peak extension at terminal stance, PKFSW, and peak extension at terminal swing. Analysis was performed in accordance to different transfer sites and overall postoperative change. When all limbs w...Continue Reading

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Citations

Mar 14, 2013·Journal of Pediatric Orthopedics·William F ScullyPaul M Caskey
May 9, 2015·Developmental Medicine and Child Neurology·Susan Stott
Apr 10, 2015·Journal of Pediatric Orthopedics. Part B·Francesco C BlumettiJosé Augusto F Lopes
Jul 3, 2021·Journal of Children's Orthopaedics·Robert M KayThomas Dreher
Jul 28, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Antoine JosseMatthias Thépaut
Sep 28, 2010·The Orthopedic Clinics of North America·Frank M ChangJames J Carollo

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