Rectus Femoris Transfer Improves Stiff Knee Gait in Children With Spastic Cerebral Palsy

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Importance of preswing rectus femoris activity in stiff-knee gait.

Stiff-knee gait is characterized by diminished and delayed knee flexion during swing. Rectus femoris transfer surgery, a common treatment for stiff-knee gait, is often recommended when a patient exhibits prolonged activity of the rectus femoris muscle during swing. Treatment outcomes are inconsistent, in part, due to limited understanding of the biomechanical factors contributing to stiff-knee ...

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Dynamic Balance During Gait in Children With Spastic Diplegic Cerebral Palsy Versus Normal Children

Purpose: Cerebral Palsy (CP) can negatively affect dynamic stability in children with spastic diplegic Cerebral Palsy during walking. This condition results in a high risk of falling. There is limited evidence regarding the dynamic stability of children with Cerebral Palsy. Thus, this study aimed to investigate the dynamic stability of children with spastic diplegic Cerebral Palsy, compared to ...

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[Distal rectus femoris tendon transfer in cerebral palsy patients].

PURPOSE OF THE STUDY Cerebral palsy is a serious world-wide problem; its incidence ranges from one to five per thousand of live-born children and is much influenced by gestation age and birth weight. In orthopaedic treatment of lower extremity motor disorders, one of the options for contracture or deformity elimination and for stiff leg gait improvement is rectus femoris tendon transfer. The ai...

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Rectus femoris transfer in multilevel surgery: technical details and gait outcome assessment in cerebral palsy patients.

INTRODUCTION In children with cerebral palsy the abnormal activity of the rectus femoris (RF) during the swing phase results in "stiff-knee gait". Transferring the RF to a knee flexor tendon improves this stiffness. The effect may be limited by adhesions from scar tissue or from angular deviations along the surgically created muscle tendon route. HYPOTHESIS The goal of this study was to asses...

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Rectus femoris transfer surgery affects balance recovery in children with cerebral palsy: A computer simulation study.

Stiff-knee gait is a troublesome movement disorder among children with cerebral palsy (CP), where peak swing phase knee flexion is diminished due to over-activity of the rectus femoris muscle. A common treatment for stiff-knee gait, rectus femoris transfer surgery, moves the muscle's distal tendon from the patella to the sartorius insertion on the tibia. As a biarticular muscle, rectus femoris ...

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ژورنال

عنوان ژورنال: Clinical Orthopaedics & Related Research

سال: 2012

ISSN: 0009-921X

DOI: 10.1007/s11999-011-2215-1