Journal article

Multilevel orthopaedic surgery in group IV spastic hemiplegia

F Dobson, HK Graham, R Baker, ME Morris

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | BRITISH EDITORIAL SOC BONE & JOINT SURGERY | Published : 2005

Abstract

Most children with spastic hemiplegia have high levels of function and independence but fixed deformities and gait abnormalities are common. The classification proposed by Winters et al is widely used to interpret hemiplegic gait patterns and plan intervention. However, this classification is based on sagittal kinematics and fails to consider important abnormalities in the transverse plane. Using three-dimensional gait analysis, we studied the incidence of transverse-plane deformity and gait abnormality in 17 children with group IV hemiplegia according to Winters et al before and after multilevel orthopaedic surgery. We found that internal rotation of the hip and pelvic retraction were consi..

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