[Spastic knee flexion deformity. Results of surgical treatment].
The records of 36 children who had been treated surgically for spastic knee flexion deformity were studied. The procedures were either a modified Eggers' operation, a lowering of the patella or a combination of both. Thirty-three children were reviewed at a distance and a comparison made between their initial and final function. The results were also assessed in relation to the state of the muscles and the length of follow-up. Many patients were improved but this improvement could not reasonably be expected except in those who could walk or in whom walking had been abandoned for a short time. The indications for the type of procedure should follow systematic examination by a medical and surgical team, taking account of the strength of the gluteus maximus and the quadriceps and the response to novocaine infiltration of the sciatic nerve.
Pouliquen
J C
JC
Service de Chirurgie Orthopédique Infantile, Hôpital Raymond Poincare, Garches.
Lacert
P
P
Durand
Y
Y
Verneret
C
C
Picard
A
A
Parmain
C
C
D000293:Adolescent; D002648:Child; D003286:Contracture / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint; D008124:Locomotion; D008297:Male; D012189:Retrospective Studies; D013997:Time Factors
Le genu flexum spastique. Résultat du traitement chirurgical.