Journal article

Lengthening and transfer of hamstrings for a flexion deformity of the knee in children with bilateral cerebral palsy - Technique and preliminary results

FYP Ma, P Selber, GR Nattrass, AR Harvey, R Wolfe, HK Graham

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | BRITISH EDITORIAL SOC BONE JOINT SURGERY | Published : 2006

Abstract

Between July 2000 and April 2004, 19 patients with bilateral spastic cerebral palsy who required an assistive device to walk had combined lengthening-transfer of the medial hamstrings as part of multilevel surgery. A standardised physical examination, measurement of the Functional Mobility Scale score and video or instrumented gait analysis were performed pre- and post-operatively. Static parameters (popliteal angle, flexion deformity of the knee) and sagittal knee kinematic parameters (knee flexion at initial contact, minimum knee flexion during stance, mean knee flexion during stance) were recorded. The mean length of follow-up was 25 months (14 to 45). Statistically significant improvemen..

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