Surgical management of the lower extremity in ambulatory children with cerebral palsy.

Research output: Contribution to journalReview article

38 Scopus citations

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 languageEnglish (US)
Pages (from-to)196-203
Number of pages8
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Volume12
Issue number3
DOIs
StatePublished - Jan 1 2004

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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