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Verfasst von:Klotz, Matthias C. M. [VerfasserIn]   i
 Wolf, Sebastian Immanuel [VerfasserIn]   i
 Heitzmann, Daniel [VerfasserIn]   i
 Krautwurst, Britta [VerfasserIn]   i
 Braatz, Frank [VerfasserIn]   i
 Dreher, Thomas [VerfasserIn]   i
Titel:Reduction in primary genu recurvatum gait after aponeurotic calf muscle lengthening during multilevel surgery
Verf.angabe:M.C.M. Klotz, S.I. Wolf, D. Heitzmann, B. Krautwurst, F. Braatz, T. Dreher
E-Jahr:2013
Jahr:9 September 2013
Umfang:8 S.
Fussnoten:Gesehen am 08.06.2022
Titel Quelle:Enthalten in: Research in developmental disabilities
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1987
Jahr Quelle:2013
Band/Heft Quelle:34(2013), 11, Seite 3773-3780
ISSN Quelle:1873-3379
Abstract:Knee hyperextension (genu recurvatum, GR) is often seen in children with bilateral spastic cerebral palsy (CP). Primary GR appears essential without previous treatment. As equinus deformity is suspected to be one of the main factors evoking primary GR, the purpose of this study was to determine whether lengthening the calf muscles to decrease equinus would decrease coexisting GR in children with bilateral spastic CP. In a retrospective study, 19 CP patients with primary GR (mean age: 9.4 years, 13 male, 6 female, 26 involved limbs) in whom an aponeurotic calf muscle lengthening procedure was performed during single-event multilevel surgery were included and investigated using three-dimensional gait analysis before and at a mean follow-up of 14 months after the procedure according to a standardized protocol. After calf muscle lengthening, a significant improvement in ankle dorsiflexion (9.5°) and a significant reduction (10.5°) in knee hyperextension (p<0.001) were found during mid-stance of the gait cycle. Six limbs (23%) showed no improvement concerning knee hyperextension and were designated as nonresponders. In these patients no significant improvement in ankle dorsiflexion was found after surgery either. Improvement in ankle dorsiflexion and reduction in knee hyperextension in stance phase correlated significantly (r=0.46; p=0.019). These findings indicate that equinus deformity is a Major underlying factor in Primary GR and that calf muscle lengthening can effectively reduce GR in patients with CP.
DOI:doi:10.1016/j.ridd.2013.08.019
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: https://doi.org/10.1016/j.ridd.2013.08.019
 Volltext: https://www.sciencedirect.com/science/article/pii/S0891422213003612
 DOI: https://doi.org/10.1016/j.ridd.2013.08.019
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Calf muscle lengthening
 Cerebral palsy
 Equinus
 Gait analysis
 Genu recurvatum
K10plus-PPN:175187155X
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