OUTCOMES OF COMBINED HAMSTRING RELEASE AND RECTUS TRANSFER IN CHILDREN WİTH CROUCH GAIT Kenan KOCA, Cemil YILDIZ, Yüksel YURTTAŞ, Serkan BİLGİÇ, Hüseyin ÖZKAN, Mustafa KÜRKLÜ, Birol BALABAN, Bülent HAZNECİ, Mustafa BAŞBOZKURT Ortop Traumatol Rehabil 2009; 11(4):333-338 ICID: 895469
Article type: Original article
IC™ Value: 7.53
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Background: Our aim was to evaluate the outcomes of combined hamstring release and rectus transfer in children with crouch gait using physical examination and gait analysis. Materials and Methods: A total of 19 patients (38 knee joints) with crouch were evaluated by static examination and computerized analysis with dynamic EMG. The Ely test was positive together with prolonged and increased activity in the rectus muscle bilaterally in all patients. These patients underwent hamstring release and rectus transfer. Intensive rehabilitation was provided following the surgery and the patients were evaluated again by static examination and gait analysis after an average of 6.3 (4-7.5) months after surgery. The preoperative and postoperative static examination findings, knee and ankle joint kinematics and time-distance parameters were compared in 19 children. Results: There was a significant improvement in static examination findings, knee and ankle kinematics and time-distance parameters. However, there was no significant difference between the preoperative and postoperative swing phase peak knee lexion.Conclusions: This study demonstrated that static parameters, time-distance parameters, knee and ankle kinematics were improved following combined hamstring release and rectus transfer in children with cerebral palsy without any cases of stiff knees.
ICID 895469 PMID 19828915 - click here to show this article in PubMed