Proximal hamstring lengthening in the sitting cerebral palsy patient.
We retrospectively studied 62 nonambulatory children with spastic quadriplegic cerebral palsy who underwent proximal hamstring lengthening to improve hip and spine positioning. Preoperatively, all had hamstring contracture, with difficulty sitting due to hip extensor thrust and increased kyphosis. Thirty-five patients with follow-up greater than or equal to 2 years were studied using a modified Reimer scale to assess sitting ability. Sitting ability improved significantly (p less than 0.01) postoperatively, along with popliteal angle (p less than 0.001) and straight leg raising (p less than 0.001). Proximal hamstring lengthening is effective in treating severe hamstring contractures in the wheelchair-bound child with cerebral palsy.
Elmer
E B
EB
Orthopedic Research Division, Children's Hospital San Diego, California 92123.
Wenger
D R
DR
Mubarak
S J
SJ
Sutherland
D H
DH
D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D006617:Hip Dislocation / Q000209:etiology / Q000601:surgery; D006801:Humans; D007223:Infant; D011187:Posture; D011782:Quadriplegia / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods; D013848:Thigh