A review of pre- and postoperative prone knee flexion (PKF) data after isolated hamstring tenotomy for 52 patients with cerebral palsy (CP) at an average follow-up of 3 years 4 months showed the frequency of diminished knee flexion to be 71\%. Twenty-three percent of the knees actually had improved flexion, whereas 6\% were unchanged. On the average, patients' flexion decreased 14.4 degrees from a preoperative PKF of 131.5 degrees to 117.1 degrees postoperatively (p < 0.0001). Only 11.5\% of patients had PKF < 90 degrees at most recent follow-up, however; only 1.9\% had PKF < 60 degrees. Thirteen percent of ambulators eventually required a rectus femoris transfer to correct "stiff-legged gait."
%0 Journal Article
%1 Damron1993
%A Damron, T. A.
%A Breed, A. L.
%A Cook, T.
%D 1993
%J J Pediatr Orthop
%K Adolescent; Cerebral Palsy; Child; Child, Preschool; Contracture; Follow-Up Studies; Humans; Infant; Knee Joint; Prone Position; Range of Motion, Articular; Retrospective Severity Illness Index; Tendon Transfer; Tendons; Thigh
%N 2
%P 188--191
%T Diminished knee flexion after hamstring surgery in cerebral palsy patients: prevalence and severity.
%V 13
%X A review of pre- and postoperative prone knee flexion (PKF) data after isolated hamstring tenotomy for 52 patients with cerebral palsy (CP) at an average follow-up of 3 years 4 months showed the frequency of diminished knee flexion to be 71\%. Twenty-three percent of the knees actually had improved flexion, whereas 6\% were unchanged. On the average, patients' flexion decreased 14.4 degrees from a preoperative PKF of 131.5 degrees to 117.1 degrees postoperatively (p < 0.0001). Only 11.5\% of patients had PKF < 90 degrees at most recent follow-up, however; only 1.9\% had PKF < 60 degrees. Thirteen percent of ambulators eventually required a rectus femoris transfer to correct "stiff-legged gait."
@article{Damron1993,
abstract = {A review of pre- and postoperative prone knee flexion (PKF) data after isolated hamstring tenotomy for 52 patients with cerebral palsy (CP) at an average follow-up of 3 years 4 months showed the frequency of diminished knee flexion to be 71\%. Twenty-three percent of the knees actually had improved flexion, whereas 6\% were unchanged. On the average, patients' flexion decreased 14.4 degrees from a preoperative PKF of 131.5 degrees to 117.1 degrees postoperatively (p < 0.0001). Only 11.5\% of patients had PKF < 90 degrees at most recent follow-up, however; only 1.9\% had PKF < 60 degrees. Thirteen percent of ambulators eventually required a rectus femoris transfer to correct "stiff-legged gait."},
added-at = {2014-07-19T19:17:34.000+0200},
author = {Damron, T. A. and Breed, A. L. and Cook, T.},
biburl = {https://www.bibsonomy.org/bibtex/2dc2b53745ae8f45083d609ea3da3c3d7/ar0berts},
groups = {public},
interhash = {8c4e86c0e2cd840f10c1281488211094},
intrahash = {dc2b53745ae8f45083d609ea3da3c3d7},
journal = {J Pediatr Orthop},
keywords = {Adolescent; Cerebral Palsy; Child; Child, Preschool; Contracture; Follow-Up Studies; Humans; Infant; Knee Joint; Prone Position; Range of Motion, Articular; Retrospective Severity Illness Index; Tendon Transfer; Tendons; Thigh},
number = 2,
pages = {188--191},
pmid = {8459009},
timestamp = {2014-07-19T19:17:34.000+0200},
title = {Diminished knee flexion after hamstring surgery in cerebral palsy patients: prevalence and severity.},
username = {ar0berts},
volume = 13,
year = 1993
}