Surgical management of the lower extremity in ambulatory children with cerebral palsy.
L. Karol. J Am Acad Orthop Surg, 12 (3):
196--203(2004)
Abstract
Despite the increasing popularity of nonorthopaedic treatment alternatives for children with cerebral palsy, bony and soft-tissue surgery remains a common component in the management of ambulatory patients. Multisite simultaneous tendon surgery provides improvement in gait by addressing hip, knee, and ankle contractures together. Careful preoperative physical examination is required; computerized gait analysis can be useful in confirming a plan for multiple tendon surgeries. Rotational osteotomies can improve transverse-plane malalignment. Shorter periods of immobilization and aggressive postoperative gait training and strengthening may optimize improvements in gait.
%0 Journal Article
%1 Karol2004
%A Karol, Lori A
%D 2004
%J J Am Acad Orthop Surg
%K Cerebral Palsy; Child; Equinus Deformity; Foot Deformities, Acquired; Gait; Hip Contracture; Humans; Leg; Muscle Spasticity; Postoperative Care; Preoperative Care
%N 3
%P 196--203
%T Surgical management of the lower extremity in ambulatory children with cerebral palsy.
%V 12
%X Despite the increasing popularity of nonorthopaedic treatment alternatives for children with cerebral palsy, bony and soft-tissue surgery remains a common component in the management of ambulatory patients. Multisite simultaneous tendon surgery provides improvement in gait by addressing hip, knee, and ankle contractures together. Careful preoperative physical examination is required; computerized gait analysis can be useful in confirming a plan for multiple tendon surgeries. Rotational osteotomies can improve transverse-plane malalignment. Shorter periods of immobilization and aggressive postoperative gait training and strengthening may optimize improvements in gait.
@article{Karol2004,
abstract = {Despite the increasing popularity of nonorthopaedic treatment alternatives for children with cerebral palsy, bony and soft-tissue surgery remains a common component in the management of ambulatory patients. Multisite simultaneous tendon surgery provides improvement in gait by addressing hip, knee, and ankle contractures together. Careful preoperative physical examination is required; computerized gait analysis can be useful in confirming a plan for multiple tendon surgeries. Rotational osteotomies can improve transverse-plane malalignment. Shorter periods of immobilization and aggressive postoperative gait training and strengthening may optimize improvements in gait.},
added-at = {2014-07-19T20:31:57.000+0200},
author = {Karol, Lori A},
biburl = {https://www.bibsonomy.org/bibtex/22bd0a16379ed32d3ec15429a54068b2b/ar0berts},
groups = {public},
interhash = {e1122646a9fffe344440565c3f42ec9f},
intrahash = {2bd0a16379ed32d3ec15429a54068b2b},
journal = {J Am Acad Orthop Surg},
keywords = {Cerebral Palsy; Child; Equinus Deformity; Foot Deformities, Acquired; Gait; Hip Contracture; Humans; Leg; Muscle Spasticity; Postoperative Care; Preoperative Care},
number = 3,
pages = {196--203},
pmid = {15161173},
timestamp = {2014-07-19T20:31:57.000+0200},
title = {Surgical management of the lower extremity in ambulatory children with cerebral palsy.},
username = {ar0berts},
volume = 12,
year = 2004
}