Assessment of hip rotation after gait improvement surgery in cerebral palsy.
Sixteen children with diplegic type of cerebral palsy and spastic internal rotation gait were evaluated using gait analysis before and an average of 3 years after multiple soft tissue surgery. Significant correction of the internal rotation gait was observed after multi-level soft tissue surgery which included medial hamstring lengthening in all cases. Our results suggest that for children with spastic internal rotation gait, multi-level soft tissue surgery effectively corrects the dynamic internal rotation gait in the absence of fixed bony rotational deformities.
Steinwender
G
G
Department of Paediatric Orthopaedics, Karl Franzens University, Graz, Austria.
Saraph
V
V
Zwick
E B
EB
Uitz
C
C
Linhart
W
W
D000293:Adolescent; D002547:Cerebral Palsy / Q000503:physiopathology* / Q000601:surgery*; D002648:Child; D003286:Contracture / Q000601:surgery*; D005684:Gait; D006621:Hip Joint / Q000503:physiopathology; D006801:Humans; D009128:Muscle Spasticity; D019637:Orthopedic Procedures / Q000379:methods*; D009989:Orthotic Devices; D016658:Psoas Muscles / Q000601:surgery; D012016:Reference Values; D015203:Reproducibility of Results; D012399:Rotation; D013709:Tendon Transfer; D013710:Tendons / Q000601:surgery; D016896:Treatment Outcome