Treatment of fixed knee flexion deformity and crouch gait using distal femur extension osteotomy in cerebral palsy

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Guided growth for correction of knee flexion deformity: a series of four cases

Fixed knee flexion deformity can present as an insidious and significant problem in diverse etiologies, most commonly in cerebral palsy. Traditional surgical intervention has included posterior capsulotomy and supracondylar femoral osteotomy, both of which carry significant associated morbidity and risks. In the skeletally immature patient, guided growth may be used to correct or substantially ...

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Post-operative Hypertension following Correction of Flexion Deformity of the Knees in a Spastic Diplegic Child: A Case Report

An adolescent boy with spastic diplegic cerebral palsy presented with crouch gait. He had bilateral severe flexion deformities of knees and hips. He was treated with single event multilevel surgery for the correction of deformities. Surgical procedures included bilateral adductor release, iliopsoas lengthening, bilateral femoral shortening and patella plication. Persistent hypertension was note...

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The knee is the most affected joint in children with cerebral palsy. Flexion contracture of the knee is the cause of the crouch gait pattern, instability in stance phase of gait, and difficulties during standing and sitting, and other daily living activities. Hip flexion contracture in crouch gait is mostly compensation of the knee flexion contracture and ankle equines. The psoas muscle is the ...

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ژورنال

عنوان ژورنال: Journal of Children's Orthopaedics

سال: 2008

ISSN: 1863-2521,1863-2548

DOI: 10.1007/s11832-007-0073-x