The analysis of walk cycle in patients with spastic cerebral palsy after surgical management on the lower extremity.
Gait pattern is a frequent problem in cerebral palsy. The aim of the investigation is the evaluation of proximal femur normalization and/or pelvis normalization after surgical correction and simultaneous operations on soft tissues of lower limbs, as well as walk analysis. From 1980. to 2000. were operated 856 patients, 476 male and 380 female, between 1-51 years. Basic walk parameters were analyzed: step length, speed and the number of steps in one minute (cadence). 75.25% of patients had good results with improved of centrum collum diaphysis (CCD) and angle of anteversion (AV) or antetorsion (AT) for 70%, and more independent walking with contracture corrections and decreased spasticism. The best results were achieved with simultaneous two-side operations, with patients' age between 1 and 3, achieving independent walking. More operations at the same time significantly reduce spasticism--one anesthesia, one immobilization, and later same time post-operative physical therapy and satisfactory better results.
Department of Orthopedic Surgery, University Hospital Center "Zagreb", School of Medicine, University of Zagreb, Zagreb, Croatia. ksakic@mef.hr
Simun
S
Sakić
Katarina
K
Sakić
Nevia
N
Buković
Damir
D
Buković
Marija
M
Zlojtro
Mato
M
Pavić
D000293:Adolescent; D000328:Adult; D053587:Arthrometry, Articular; D002547:Cerebral Palsy / Q000534:rehabilitation / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D005684:Gait; D020233:Gait Disorders, Neurologic / Q000534:rehabilitation / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007223:Infant; D035002:Lower Extremity / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009128:Muscle Spasticity / Q000534:rehabilitation / Q000601:surgery; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D011859:Radiography; D013710:Tendons / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery