Journal article

Severe crouch gait in spastic diplegia can be prevented A POPULATION-BASED STUDY

C Vuillermin, J Rodda, E Rutz, BJ Shore, K Smith, HK Graham

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | BRITISH EDITORIAL SOC BONE JOINT SURGERY | Published : 2011

Abstract

We studied the prevalence of severe crouch gait over a 15-year period in a defined population of children with spastic diplegia and Gross Motor Function Classification System levels II and III, to determine if there had been a decrease following changes to the management of equinus gait. These changes were replacing observational with three-dimensional gait analysis, replacing single level with multilevel surgery, and replacing gastrocsoleus lengthening with gastrocnemius recession. Of 464 children and adolescents with spastic diplegia who underwent three-dimensional gait analysis, 27 had severe crouch gait. Seventeen of these had been managed by isolated lengthening of the gastrocsoleus. Fo..

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