Establishing surgical indications for hamstring lengthening and femoral derotational osteotomy in ambulatory children with cerebral palsy.
James McCarthy, M Wade Shrader, Kerr Graham, Matthew Veerkamp, Laura Brower, Hank Chambers, Jon R Davids, Robert M Kay, Unni Narayanan, Tom F Novacheck, Kristan Pierz, Jason Rhodes, Erich Rutz, Jeffery Shilt, Benjamin J Shore, Tim Theologis, Anja Van Campenhout
J Child Orthop | British Editorial Society of Bone & Joint Surgery | Published : 2020
Purpose: Surgical procedures, such as medial hamstring lengthening (MHL) and femoral derotational osteotomy (FDO), can improve the gait of children with cerebral palsy (CP); however, substantial variation exists in the factors that influence the decision to perform surgery. The purpose of this study was to use expert surgeon opinion through a Delphi technique to establish consensus for indications in ambulatory children with CP. Methods: A 15-member panel, all established experts with at least nine years' experience in the surgical management of children with CP, was created (mean of 20.81 years' experience). All panel members also had expertise of the use of movement analysis for the assess..View full abstract