KaydedilenlerDerginizi ekleyin

Dergiler / Acta Orthopaedica et Traumatologica Turcica / 2015 / Cilt: 49 - Sayı: 1

Improvement of popliteal angle with semitendinosus or gastrocnemius tenotomies in children with cerebral palsy

İlker Abdullah SARIKAYA
Muharrem İNAN
Ali ŞEKER
Sayfa
51–56
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Age, preoperative popliteal angle or anatomical disease classification did not a significantly affect popliteal angle

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: The aim of this study was to determine the efficacy of semitendinosus and gastrocnemius tenotomies on popliteal angle presenting knee flexion spasticity in children with cerebral palsy (CP).Methods: The study included 44 patients (25 males, 19 females; mean age: 8.1 years, range: 4 to 14 years) with spastic CP who underwent surgery for knee flexion spasticity.
📊
Temel Bulgular & Veri:A total of 78 semitendinosus tenotomies and 28 associated gastrocnemius tenotomies were performed.
💡
Sonuç & Katkı:Age, preoperative popliteal angle or anatomical disease classification did not a significantly affect popliteal angle
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: The aim of this study was to determine the efficacy of semitendinosus and gastrocnemius tenotomies on popliteal angle presenting knee flexion spasticity in children with cerebral palsy (CP).Methods: The study included 44 patients (25 males, 19 females; mean age: 8.1 years, range: 4 to 14 years) with spastic CP who underwent surgery for knee flexion spasticity. A total of 78 semitendinosus tenotomies and 28 associated gastrocnemius tenotomies were performed. Popliteal angle was measured under general anesthesia before and after surgery. Patients were divided into groups according to age (younger and older than 7 years), severity of deformity and type of CP.Results: Mean popliteal angles decreased by 14.3º (30.1%) following semitendinosus tenotomy and by 6.1º (12%) following gastrocnemius tenotomy (p=0.0001). The change in popliteal angle was not statistically significant according to age, severity of flexion spasticity, and type of CP palsy. There was a significant difference following gastrocnemius tenotomy between groups with a popliteal angle of greater or lesser than 50º (p=0.0001).Conclusion: Semitendinosus and gastrocnemius tenotomies improved popliteal angle by 30.1% and 12%, respectively. Age, preoperative popliteal angle or anatomical disease classification did not a significantly affect popliteal angle

🔖

Bu Makaleye Atıf Yap

SARIKAYA, İ. A., İNAN, M., ŞEKER, A. (2015). Improvement of popliteal angle with semitendinosus or gastrocnemius tenotomies in children with cerebral palsy. Acta Orthopaedica et Traumatologica Turcica, Cilt: 49 - Sayı: 1, 51–56. https://ajindex.com/articles/216219

Kaynakça (10)

  1. Horstmann HM, Bleck EE. Orthopaedic Management in Cerebral Palsy. 2nd ed. London: Mac Keith Press; 2007. p. 303-43.
  2. DeLuca PA, Ounpuu S, Davis RB, Walsh JH. Effect of hamstring and psoas lengthening on pelvic tilt in patients with spastic diplegic cerebral palsy. J Pediatr Orthop 1998;18:712-8. Gage JR. Gait analysis. An essential tool in the treatment of cerebral palsy. Clin Orthop Relat Res 1993;288:126-34.
  3. Kay RM, Rethlefsen SA, Skaggs D, Leet A. Outcome of medial versus combined medial and lateral hamstring lengthening surgery in cerebral palsy. J Pediatr Orthop 2002;22:169-72.
  4. Csongradi J, Bleck E, Ford WF. Gait electromyography in normal and spastic children, with special reference to quadriceps femoris and hamstring muscles. Dev Med Child Neurol 1979;21:738-48.
  5. Sullivan RC, Gehringer KM, Harris GF. A computer- assisted survey of results of medial hamstring surgery in children with cerebral palsy. Orthop Trans 1984;8:109. Damron T, Breed AL, Roecker E. Hamstring tenotomies in cerebral palsy: long-term retrospective analysis. J Pedi- atr Orthop 1991;11:514-9.
  6. Campos da Paz A Jr, Nomura AN, Braga LW, Burnett SM. Speculations on cerebral palsy. In proceedings of the British Orthopaedic Association. J Bone Joint Surg Br 1984;66:283. Atar D, Zilberberg L, Votemberg M, Norsy M, Galil A. Effect of distal hamstring release on cerebral palsy pa- tients. Bull Hosp Jt Dis 1993;53:34-6.
  7. Daniel DM, Stone M. Instrumented Measurement of Knee Motion. In: Daniel DM, Akeson WH, O'Connor JJ, editors. Knee Ligaments: Structure, Function, Injury and Repair. New York:Raven Press; 1990. p. 421-6.
  8. Li L, Landin D, Grodesky J, Myers J. The function of gastrocnemius as a knee flexor at selected knee and ankle angles. J Electromyogr Kinesiol 2002;12:385-90.
  9. Baddar A, Granata K, Damiano DL, Carmines DV, Blan- co JS, Abel MF. Ankle and knee coupling in patients with spastic diplegia: effects of gastrocnemius-soleus lengthen- ing. J Bone Joint Surg Am 2002;84:736-44. Silfverskiöld N. Reduction of the uncrossed two-joints muscles of the leg to one-joint muscles in spastic condi- tions. Acta Chir Scan 1924;56:315-30. Strayer Lm Jr. Recession Of The Gastrocnemius; An Op- eration To Relieve Spastic Contracture Of The Calf Mus- cles. J Bone Joint Surg Am 1950;32:671-6.
  10. Sharps CH, Clancy M, Steel HH. A long-term retrospec- tive study of proximal hamstring release for hamstring con- tracture in cerebral palsy. J Pediatr Orthop 1984;4:443-7. van der Linden ML, Aitchison AM, Hazlewood ME,