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Journals / Acta Orthopaedica et Traumatologica Turcica / 2009 / Cilt: 43 - Sayı: 2

Treatment approaches to flexion contractures of the knee

Diz fleksiyon kontraktüründe tedavi yaklaşımları

Yener TEMELLİ
N. Ekin AKALAN
Pages
113–120
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The biomechanical reasons of knee flexion deformity are discussed in detail in the light of previous studies and gait analysis data.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The knee is the most affected joint in children with cerebral palsy.
📊
Key Findings & Data:Flexion contracture of the knee is the cause of crouch gait pattern, instability in stance phase of gait, and difficulties during standing and sitting, and for daily living activities.
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Conclusion & Impact:The biomechanical reasons of knee flexion deformity are discussed in detail in the light of previous studies and gait analysis data.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Çocuk · Kas · iskelet

Abstract

The knee is the most affected joint in children with cerebral palsy. Flexion contracture of the knee is the cause of crouch gait pattern, instability in stance phase of gait, and difficulties during standing and sitting, and for daily living activities. It may also cause patella alta, degeneration of the patellofemoral joint, and stress fractures of the patella and tibial tubercle in young adults. Children with cerebral palsy may even give up walking due to its high energy demand in the adult period. The purpose of this article is to review the causes of the knee flexion contractures, clinical and radiological evaluations, and treatment principles in children with cerebral palsy. The biomechanical reasons of knee flexion deformity are discussed in detail in the light of previous studies and gait analysis data.

Özet

Beyin felcinde en çok etkilenen eklem diz eklemidir. Diz fleksiyon kontraktürü, çömelme pozisyonunda yürümeye, basma fazında stabilite kaybına, ayakta durma ve oturmada ve günlük yaşam aktivitelerinde zorluklara yol açar. Ayrıca, genç erişkin dönemde, patella alta, patellofemoral eklem dejenerasyonu, patella ve tüberküler kırıklarına da neden olabilir. Bu çocuklar ileri yaşlarda, yüksek enerji gerektirdiği için yürümeden bile vazgeçebilirler. Bu yazıda, beyin felçli çocuklarda diz fleksiyon kontraktürlerinin nedenleri, klinik ve radyolojik değerlendirmeler ve tedavi prensipleri gözden geçirildi. Ayrıca, yapılan çalışmalar ve yürüme analizi verileri ışığında diz fleksiyon kontraktürünün biyomekaniksel nedenleri ayrıntılı olarak tartışıldı.

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Cite This Article

TEMELLİ, Y., AKALAN, N. E. (2009). Treatment approaches to flexion contractures of the knee. Acta Orthopaedica et Traumatologica Turcica, Cilt: 43 - Sayı: 2, 113–120. https://ajindex.com/articles/354451

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