Management of the knee in spastic diplegia: what is the dose?
This article discusses the sagittal gait patterns in children with spastic diplegia, with an emphasis on the knee, as well as the concept of the "dose" of surgery that is required to correct different gait pathologies. The authors list the various interventions in the order of their increasing dose. The concept of dose is useful in the consideration of the management of knee dysfunction.
Young
Jeffrey L
JL
Orthopaedic Department, The Royal Children's Hospital, Melbourne, Parkville, Victoria, 3052, Australia. jly829@hotmail.com
Rodda
Jill
J
Selber
Paulo
P
Rutz
Erich
E
Graham
H Kerr
HK
D002547:Cerebral Palsy / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D002648:Child; D005684:Gait / Q000502:physiology*; D006801:Humans; D007592:Joint Diseases / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D007719:Knee Joint; D009128:Muscle Spasticity / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D018482:Muscle, Skeletal / Q000503:physiopathology / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D016896:Treatment Outcome