Long-term outcome of knee hyperextension in children with cerebral palsy

被引：2

作者：

Abousamra, Oussama ^{[1
]}

Connor, Justin ^{[1
]}

Church, Chris ^{[1
]}

Taylor, Daveda ^{[1
]}

Lennon, Nancy ^{[1
]}

Duque Orozco, Maria Del Pilar ^{[1
]}

Henley, John ^{[1
]}

Sees, Julieanne ^{[1
]}

Miller, Freeman ^{[1
]}

机构：

[1] Nemours Alfred I duPont Hosp Children, Dept Orthoped, 1600 Rockland Rd, Wilmington, DE 19803 USA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2019年 / 28卷 / 04期

关键词：

cerebral palsy; gait disorders; knee hyperextension; plantar flexor lengthening; GROSS MOTOR FUNCTION; GENU RECURVATUM GAIT; SPASTIC DIPLEGIA; RELIABILITY; ABNORMALITIES; INJECTIONS; ANKLE;

D O I：

10.1097/BPB.0000000000000564

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study evaluated knee hyperextension course in children with cerebral palsy over a 5-year follow-up. Knee hyperextension was identified in 308 knees, of which 97 had follow-up greater than 5 years. Between the tests, 40% of limbs had plantar flexor lengthening (PFL). Overall, knee flexion and ankle dorsiflexion in stance increased (P<0.0001). Similar changes were noted between limbs that had PFL and those that did not. PFL is indicated in cases associated with equinus. However, the role of multilevel surgery in the treatment of knee hyperextension needs to be further determined.

引用

页码：345 / 350

页数：6

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