Diagnosis and treatment of crouch gait in children with cerebral palsy. Report from the 4th Edition of the Transatlantic Orthopedic Surgery Webinar 2022

Introduction. The fourth edition of the Transatlantic Orthopedic Surgery Webinar 2022 took place on December 12th, 2022. main theme webinar was treatment crouch gait in children with cerebral palsy (CP). Speakers from Australia, Canada, China, Germany, India, Poland, Spain, Sweden, Turkey, United Kingdom, and States participated. Results. first general session presented biomechanics gait, function hip knee muscles CP, principles prevention spastic diplegia, natural course outcomes CP adults. surgical sessions comprehensively techniques for treating gait: percutaneous myofasciotomy posterior joint, straightening osteotomy distal femur hemiplegia, asymmetric symmetric shortening plastically reconstructing patellar ligament, anterior hemiepiphysiodesis femur, transfer hamstring to rectus femoris muscle. second postoperative standing walking rehabilitation protocols evaluation (pain, fatigue, ambulatory activity, motor function, quality life). Summary. most important conclusions event were: do not lengthen Achilles tendon zone III gait; laboratory analysis is necessary before lengthening muscles; can be performed when predicted growth period less than two years; should considered during adolescence flexion contracture 10-40 degrees; possibilities transfers myofasciotomies remembered, especially younger patients. attracted an audience approximately 1,600 people 672 centers located 57 countries. Most participants came States, Norway, India.