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.
Original language | English (US) |
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Pages (from-to) | 196-203 |
Number of pages | 8 |
Journal | The Journal of the American Academy of Orthopaedic Surgeons |
Volume | 12 |
Issue number | 3 |
DOIs | |
State | Published - 2004 |
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine