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Verfasst von:Putz, Cornelia [VerfasserIn]   i
 Wolf, Sebastian Immanuel [VerfasserIn]   i
 Geisbüsch, Andreas [VerfasserIn]   i
 Thielen, Mirjam [VerfasserIn]   i
 Dreher, Thomas [VerfasserIn]   i
Titel:Femoral derotation osteotomy in adults with cerebral palsy
Verf.angabe:C. Putz, S.I. Wolf, A. Geisbüsch, M. Niklasch, L. Döderlein, T. Dreher
E-Jahr:2016
Jahr:27 June 2016
Umfang:7 S.
Fussnoten:Gesehen am 10.01.2018
Titel Quelle:Enthalten in: Gait & posture
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1993
Jahr Quelle:2016
Band/Heft Quelle:49(2016), Seite 290-296
ISSN Quelle:1879-2219
Abstract:Internal rotation gait constitutes a complex gait disorder in bilateral spastic cerebral palsy (BSCP) including static torsional and dynamic components resulting in lever arm dysfunction. Although femoral derotation osteotomy (FDO) is a standard procedure to correct increased femoral anteversion in children, unpredictable outcome has been reported. The effect of FDO when it is done as part of single-event multilevel surgery (SEMLS) in adulthood has not been investigated. In this study mid-term data of 63 adults with BSCP and internal rotation gait, undergoing SEMLS including FDO were analyzed pre- and 1.7 years postoperatively by clinical examination and 3D-instrumented gait analysis. All legs were categorized as the more or less involved side to consider asymmetry. The mean hip rotation in stance preoperatively and the intraoperative derotation was correlated with the difference pre- and postoperatively. The group as a whole experienced the following results postoperatively: improved mean hip rotation in stance (p=0.0001), mean foot progression angle (p=0.0001) and a significant improvement of the clinical parameter: passive internal and external hip rotation, midpoint and anteversion (p=0.0001) for both legs separately. With regard to the less and more involved side, clinical and kinematic parameters showed comparable significant changes (p=0.0001). The anteversion improved significantly in proximal compared to distal FDO (p=0.03). This study emphasizes an overall good correction of internal rotation gait in adults with bilateral involvement after FDO. However, the results are more predictable in adults compared to studies reporting outcome after FDO in children.
DOI:doi:10.1016/j.gaitpost.2016.06.034
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: http://dx.doi.org/10.1016/j.gaitpost.2016.06.034
 Volltext: http://www.sciencedirect.com/science/article/pii/S0966636216301151
 DOI: https://doi.org/10.1016/j.gaitpost.2016.06.034
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Adults
 Cerebral palsy
 Femoral derotation Osteotomy
 Gait analysis
 Internal rotation gait
K10plus-PPN:1567021808
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