RECTUS FEMORIS SURGERY IN CHILDREN WITH CEREBRAL-PALSY .2. A COMPARISON BETWEEN THE EFFECT OF TRANSFER AND RELEASE OF THE DISTAL RECTUS FEMORIS ON KNEE MOTION

被引：95

作者：

OUNPUU, S

MUIK, E

DAVIS, RB

GAGE, JR

DELUCA, PA

机构：

[1] Gait Laboratory, Newington Children’s Hospital, Newington, CT

[2] Department of Orthopaedics, Gillette Children’s Hospital, St. Paul, MN

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1993年 / 13卷 / 03期

关键词：

CEREBRAL PALSY; DISTAL RECTUS FEMORIS RELEASE; GAIT ANALYSIS; RECTUS FEMORIS; RECTUS FEMORIS TRANSFER;

D O I：

10.1097/01241398-199305000-00011

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Rectus femoris muscle (RF) surgery was performed in 98 children (136 sides) with cerebral palsy (CP). RF transfer was performed in 105 lower limbs, and distal RF release was performed in 31. Eleven (20 sides) similarly affected children had no RF procedure and are included for comparison. Gait analysis was performed just before and approximately 1 year after surgery. All children underwent other orthopaedic surgery at the time of the RF procedure. When preoperative knee range of motion (ROM) was >80% of normal, there were no significant changes in knee motion in either the RF transfer or distal release groups. In patients with <80% of normal knee ROM preoperatively, RF transfer was followed by maintained knee flexion in swing; patients who underwent distal RF release or no RF procedure showed a decrease (10-degrees and 6-degrees, respectively) in knee flexion postoperatively. These results suggest that the RF should be transferred and not released when knee ROM is <80%.

引用

页码：331 / 335

页数：5

共 12 条

[1]

Bauman J.U., Ruetsch H., Schurmann K., Distal hamstring lengthening in cerebral palsy, Int Orthop, 3, pp. 305-309, (1980)

[2]

Csongradi J., Bleck E., Ford F.W., Gait electromyography in normal and spastic children, with special reference to quadriceps femoris and hamstring muscles, Dev Med Child Neurol, 21, pp. 738-748, (1979)

[3]

Davis R.B., Ounpuu S., Tyburski D., Gage J.R., A gait analysis data collection and reduction technique, Hum Mov Sci, 10, pp. 575-589, (1991)

[4]

Gage J.R., Gait analysis for decision making in cerebral palsy, Bull Hasp Joint Dis Orthop Inst, 43, pp. 147-163, (1983)

[5]

Gage J.R., Perry J., Hicks R.R., Koop S., Werntz J.R., Rectus femoris transfer to improve knee function of children with cerebral palsy, Dev Med Child Neurol, 29, pp. 159-166, (1987)

[6]

Ounpuu S., Gage J.R., Davis R.B., Three-dimensional lower extremity joint kinetics in normal pediatric gait, J Pediatr Orthop, 11, pp. 341-349, (1991)

[7]

Perry J., Distal rectus femoris transfer, Dev Med Child Neurol, 29, pp. 153-158, (1987)

[8]

Silfverskiold N., Reduction of the uncrossed two joint muscles of the leg to one joint muscles in spastic conditions, Acta Chir St And, 56, pp. 315-329, (1923)

[9]

Sutherland D.H., Larsen L.J., Mann R., Rectus femoris release in selected patients with cerebral palsy: A preliminary report, Dev Med Child Neurol, 17, pp. 26-34, (1975)

[10]

Sutherland D.H., Cooper L., The pathomechanics of progressive crouch gait in spastic diplegia, Orthop Clin North Am, 9, pp. 143-154, (1978)

← 1 2 →