Changes in lower limb rotation after soft tissue surgery in spastic diplegia

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Changes in lower limb rotation after soft tissue surgery in spastic diplegia

BACKGROUND AND PURPOSE Rotational osteotomies are usually necessary to correct pronounced rotational deformities in ambulant children with cerebral palsy. The effects of soft tissue surgery on such deformities are unclear. In this retrospective study, we determined whether multilevel soft tissue surgery, performed to correct deformities in the sagittal plane, would also have an effect on rotati...

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Effects of Soft Tissue Surgery on Pelvic and Hip Rotation in Patients with Spastic Diplegia: A Meta-Analysis.

BACKGROUND There are several different opinions regarding the improvements seen on the transverse plane after soft tissue surgery alone in independently ambulant patients with cerebral palsy. We performed a meta-analysis using data from previous studies to identify the effects of soft tissue surgery alone on pelvic and hip rotation in children with spastic diplegia. METHODS We conducted a pil...

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Changes in pelvic rotation after soft tissue and bony surgery in ambulatory children with cerebral palsy.

The authors performed a retrospective review of pelvic rotation in 59 children with cerebral palsy who underwent lower extremity surgery and pre- and postoperative gait analysis. Two groups were studied: a femoral derotation osteotomy (FDRO) group and a soft tissue surgery only (no FDRO) group. Both groups exhibited abnormal pelvic rotation preoperatively and normalization of this abnormal pelv...

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Soft Tissue Coverage of the Lower Limb following Oncological Surgery

The treatment of lower limb tumors has been shifted by advancements in adjuvant treatment protocols and microsurgical reconstruction from limb amputation to limb salvage. Standard approaches include oncological surgery by a multidisciplinary team in terms of limb sparing followed by soft tissue reconstruction and adjuvant therapy when indicated. For the development of a comprehensive surgical p...

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A Descriptive Study of Lower Limb Torsional Kinematic Profiles in Children With Spastic Diplegia.

BACKGROUND Lower limb rotational anomalies in spastic diplegic children with cerebral palsy (CP) are common and difficult to identify through physical examination alone. The identification and treatment of the overall rotational disorders must be considered to restore physiological lever-arms lengths and lever-arms orientation.The aims of the study were to assess the prevalence of lower limb ro...

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ژورنال

عنوان ژورنال: Acta Orthopaedica

سال: 2010

ISSN: 1745-3674,1745-3682

DOI: 10.3109/17453671003587135