%0 Journal Article %1 Stefko1998 %A Stefko, R. M. %A de Swart, R. J. %A Dodgin, D. A. %A Wyatt, M. P. %A Kaufman, K. R. %A Sutherland, D. H. %A Chambers, H. G. %D 1998 %J J Pediatr Orthop %K Adolescent; Adult; Bone Wires; Cerebral Palsy; Child; Child, Preschool; Female; Fibula; Gait; Humans; Kinetics; Male; Osteotomy; Retrospective Studies; Rotation; Tibia; Torsion; Treatment Outcome %N 1 %P 81--87 %T Kinematic and kinetic analysis of distal derotational osteotomy of the leg in children with cerebral palsy. %V 18 %X Patients with cerebral palsy often develop rotational deformities of the lower extremities. These deformities may be caused by abnormal muscle tone, soft-tissue contractures, or bony malalignment. When rotational deformity persists after correction of the soft-tissue components, bony-realignment procedures are warranted to improve gait in ambulatory patients. We performed a retrospective review of 10 ambulatory children with cerebral palsy and tibial torsion who underwent 13 distal tibial and fibular derotation osteotomies. Preoperative and postoperative three-dimensional gait analysis were used to determine the effect of distal tibial and fibular derotation osteotomy on tibial rotation, foot-progression angle, gait velocity, and moments about the ankle. Mean tibial rotation and foot-progression angle were significantly improved by the procedure. Gait velocity improved but not significantly. Moment data demonstrated a trend toward normal. This study demonstrates that the derotational distal tibial and fibular osteotomy stabilized with percutaneous crossed Kirschner wires is a safe, reliable, and effective procedure for correcting rotational deformities of the leg in patients with cerebral palsy.

@article{Stefko1998, abstract = {Patients with cerebral palsy often develop rotational deformities of the lower extremities. These deformities may be caused by abnormal muscle tone, soft-tissue contractures, or bony malalignment. When rotational deformity persists after correction of the soft-tissue components, bony-realignment procedures are warranted to improve gait in ambulatory patients. We performed a retrospective review of 10 ambulatory children with cerebral palsy and tibial torsion who underwent 13 distal tibial and fibular derotation osteotomies. Preoperative and postoperative three-dimensional gait analysis were used to determine the effect of distal tibial and fibular derotation osteotomy on tibial rotation, foot-progression angle, gait velocity, and moments about the ankle. Mean tibial rotation and foot-progression angle were significantly improved by the procedure. Gait velocity improved but not significantly. Moment data demonstrated a trend toward normal. This study demonstrates that the derotational distal tibial and fibular osteotomy stabilized with percutaneous crossed Kirschner wires is a safe, reliable, and effective procedure for correcting rotational deformities of the leg in patients with cerebral palsy.}, added-at = {2014-07-19T21:23:39.000+0200}, author = {Stefko, R. M. and de Swart, R. J. and Dodgin, D. A. and Wyatt, M. P. and Kaufman, K. R. and Sutherland, D. H. and Chambers, H. G.}, biburl = {https://www.bibsonomy.org/bibtex/2f04e9ad88907cb119e54d348abfc87cb/ar0berts}, groups = {public}, interhash = {7a7103192f295d71a4368970eb736cb5}, intrahash = {f04e9ad88907cb119e54d348abfc87cb}, journal = {J Pediatr Orthop}, keywords = {Adolescent; Adult; Bone Wires; Cerebral Palsy; Child; Child, Preschool; Female; Fibula; Gait; Humans; Kinetics; Male; Osteotomy; Retrospective Studies; Rotation; Tibia; Torsion; Treatment Outcome}, number = 1, pages = {81--87}, pmid = {9449107}, timestamp = {2014-07-19T21:23:39.000+0200}, title = {Kinematic and kinetic analysis of distal derotational osteotomy of the leg in children with cerebral palsy.}, username = {ar0berts}, volume = 18, year = 1998 }