Functional and Clinical Outcomes of Combined Simultaneous Bilateral Anterior Distal Femoral Plate Hemiepiphysiodesis and Hamstrings Release in Management of Knee Flexion Contractures in Children With Neuromuscular Disorders
| Autor: | Claudia Maizen, Matthew C Barrett, Ahmed Zaghloul, Ilektra Geronta, Dimitrios Manoukian |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Neuromuscular disease Contracture Adolescent Knee Joint Cerebral palsy medicine Deformity Humans Orthopedics and Sports Medicine Range of Motion Articular Child Retrospective Studies business.industry Cerebral Palsy Knee flexion contracture Respiratory infection Neurapraxia General Medicine Neuromuscular Diseases medicine.disease Surgery Knee pain Treatment Outcome Pediatrics Perinatology and Child Health Female medicine.symptom business Hamstring |
| Zdroj: | Journal of pediatric orthopedics. 41(9) |
| ISSN: | 1539-2570 |
| Popis: | BACKGROUND We examined the clinical and functional outcomes of the simultaneous anterior distal femoral 8-plate hemiepiphysiodesis (ADF8PH) and hamstring release, for fixed knee flexion deformity in children with neuromuscular disease. To our knowledge, no published evidence is available that reports the outcomes of this combined techniques. METHODS Electronic medical records were retrospectively reviewed for 19 consecutive children who underwent bilateral ADF8PH and concomitant hamstrings release in our institution from 2012 to 2019. Relevant demographics, Gross Motor Functional Classification Score and preoperative and postoperative knee flexion contractures and popliteal angles were documented. RESULTS The average age at the time of operation was 12±2.1 years. There were 15 males and 4 females. Diagnoses included cerebral palsy (n=16), Cornelia de Lange syndrome (n=1), hereditary spastic paraplegia type 56 (n=1) and fructose-1,6 bisphosphonate aldose B deficiency (n=1). Mean length of follow-up was 3.8 years (range: 1.5 to 7 y). Mean fixed knee flexion deformity improved from 28.9 to 13.4 degrees (P |
| Databáze: | OpenAIRE |
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