title: The effectiveness of posterior knee capsulotomies and knee extension osteotomies in crouched gait in children with cerebral palsy.
abstract: Crouched gait is common in children with cerebral palsy (CP), and there are various treatment options. This study evaluated the effectiveness of single-event multilevel surgery including posterior knee capsulotomy or distal femoral extension osteotomy to correct knee flexion contracture in children with CP. Gait analyses were carried out to evaluate gait preoperatively and postoperatively. Significant improvements were found in physical examination and kinematic measures, which showed that children with CP and crouched gait who develop knee flexion contractures can be treated effectively using single-event multilevel surgery including a posterior knee capsulotomy or distal femoral extension osteotomy.
authors.affiliation: Gait Analysis Laboratory, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA.
authors.forename: Daveda
authors.initials: D
authors.lastname: Taylor
authors.forename: Justin
authors.initials: J
authors.lastname: Connor
authors.forename: Chris
authors.initials: C
authors.lastname: Church
authors.forename: Nancy
authors.initials: N
authors.lastname: Lennon
authors.forename: John
authors.initials: J
authors.lastname: Henley
authors.forename: Tim
authors.initials: T
authors.lastname: Niiler
authors.forename: Freeman
authors.initials: F
authors.lastname: Miller
mesh_terms: D000293:Adolescent; D001696:Biomechanical Phenomena; D002547:Cerebral Palsy / Q000150:complications / Q000601:surgery*; D002648:Child; D057186:Comparative Effectiveness Research; D003286:Contracture / Q000150:complications / Q000601:surgery*; D005260:Female; D005684:Gait; D020233:Gait Disorders, Neurologic / Q000150:complications / Q000601:surgery*; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D010027:Osteotomy; D064727:Posterior Capsulotomy; D011184:Postoperative Period; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome; D014946:Wound Infection