The influence of timing of knee recurvatum on surgical outcome in cerebral palsy

Klotz, Matthias; Heitzmann, Daniel; Wolf, Sebastian I.; Niklasch, Mirjam; Maier, Michael W.; Dreher, Thomas

doi:10.1016/j.ridd.2015.09.017

Cited by 8 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eleven studies [9,11,14,16,[20][21][22][23][24][25][26] specified the inclusion of fixed equinus, but not all used the widely used Silfverskiold test. Seventeen [9,11,12,14,16,[18][19][20]24,[27][28][29][30][31][32][33][34] studies specified the CP subtype as spastic CP. Thirty-three cohort studies and one Delphi consensus study of calf lengthening surgery for equinus were identified (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Three-Dimensional Gait Analysis in Children Undergoing Gastrocsoleus Lengthening for Equinus Secondary to Cerebral Palsy

Sclavos

Passmore

et al. 2021

Medicina

View full text Add to dashboard Cite

Background and Objectives: Equinus is the most common deformity in children with cerebral palsy, and surgical lengthening of the gastrocsoleus muscle-tendon unit is the most commonly performed operation for children with cerebral palsy. Treatment outcomes of orthopaedic surgery can be measured objectively with three-dimensional gait analysis. This study examined the quality of evidence for gastrocsoleus lengthening surgery based on objective measures. Materials and Methods: A search was performed with Medline, Embase and PubMed from 1990 to 25 August 2020 using the keywords “cerebral palsy”, “equinus”, “surgery” and “gait analysis”. Only studies of gastrocsoleus lengthening surgery using three-dimensional gait analysis were included, yielding 34 studies. Results: Fourteen studies reported swing phase kinematics and all studies reported a significant improvement. Rates of recurrent equinus and calcaneus were reported in 21 studies and varied widely based on follow-up period and surgical technique. Conclusions: Poor study quality and marked variability in study samples and interventions made comparison difficult. Future studies should consider prospective design, controls or comparison groups and more detailed breakdowns of outcomes by cerebral palsy subtype, sagittal gait pattern, and equinus type in order to allow more rigorous treatment recommendations to be made.

show abstract

Section: Resultsmentioning

confidence: 99%

Three-Dimensional Gait Analysis in Children Undergoing Gastrocsoleus Lengthening for Equinus Secondary to Cerebral Palsy

Sclavos

Passmore

et al. 2021

Medicina

View full text Add to dashboard Cite

show abstract

“…Congenital recurvatum, an uncommon deformity of the knee in children, is caused by conditions such as arthrogryposis, ( 4 cerebral palsy, ( 5 )-( 7 poliomyelitis, sequelae of tibial tuberosity fractures, ( 8 ),( 9 and some syndromes with generalized joint hypermobility. ( 1 ),( 10 …”

Section: Introductionmentioning

confidence: 99%

“…At the extreme end of the spectrum, there may even be anterior dislocation of the knee. [1][2][3] Congenital recurvatum, an uncommon deformity of the knee in children, is caused by conditions such as arthrogryposis, 4 cerebral palsy, [5][6][7] poliomyelitis, sequelae of tibial tuberosity fractures, 8,9 and some syndromes with generalized joint hypermobility. 1,10 It is important to note that the treatment of genu recurvatum is challenging.…”

Section: Introductionmentioning

confidence: 99%

Distal Femur Hemiepiphysiodesis in Knee Recurvatum: A New Surgical Technique

MONTENEGRO,

GENEROSO,

SERAFIM

et al. 2023

Acta ortop. bras.

View full text Add to dashboard Cite

Introduction: The genu recurvatum is characterized by a hyperextension deformity of the knee in the sagittal plane. Among its causes are conditions such as arthrogryposis, cerebral palsy, poliomyelitis, sequelae of tibial tuberosity fracture and some syndromes with generalized joint hypermobility. Treatment of this deformity can be challenging and, to date, aggressive methods such as femur or tibial osteotomies are the most used for its correction. Objective: This study aimed to describe a new surgical technique for correcting genu recurvatum. Methods: This is a prospective clinical study of children who underwent posterior hemiepiphysiodesis of the distal femur with transphyseal screws. Results: The approach proved to be safe and useful for genu recurvatum deformities, with femoral or articular apex. Conclusion: This approach shows great potential for correcting genu recurvatum in the developing skeleton, being an excellent alternative to the more aggressive methods currently used to treat this deformity. Level of evidence IV, Case Series.

show abstract

“…Recurvatum is an unusual deformity of the knee in children and amongst its causes are conditions such as arthrogryposis (4) , cerebral palsy (5)(6)(7) , poliomyelitis, sequelae of the tibial tuberosity fracture (8,9) , and some syndromes with generalized joint hypermobility (1,10) . When there is a structured equinus deformity of the ankle and foot, the knee with joint hypermo-bility can deform into recurvatum due to the vector resulting from the relative posteriorization of the proximal tibia and anteriorization of the load axis to the knee.…”

Section: Introductionmentioning

confidence: 99%

Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal

2022

View full text Add to dashboard Cite

Genu recurvatum is characterized as an hyperextension deformity of the knee in the sagittal plane and can be associated to structured equinus deformity of the ankle and foot. Amongst its causes are conditions like arthrogryposis, cerebral palsy, tibial tuberosity arrest, poliomyelitis and syndromes with generalized ligamentous hyperlaxity. The treatment of this condition can be challenging, specially when associated with equinus of the foot and, to date, aggressive methods such as femur or tibia osteotomies are the most used for its correction. We describe here a safe and minimally invasive technique with posterior hemiepiphysiodesis of the distal femur performed with transphyseal screws for correction of the genu recurvatum with apex on the distal femur associated with rigid equinus of the foot due to tarsal coalition. This technique has great potential for correcting the recurvate knee in the immature skeleton and can be an excellent alternative to the more aggressive methods currently used for the treatment of this deformity. Level of Evidence V; Therapeutic Studies; Expert Opinion.

show abstract

The influence of timing of knee recurvatum on surgical outcome in cerebral palsy

Cited by 8 publications

References 24 publications

Three-Dimensional Gait Analysis in Children Undergoing Gastrocsoleus Lengthening for Equinus Secondary to Cerebral Palsy

Three-Dimensional Gait Analysis in Children Undergoing Gastrocsoleus Lengthening for Equinus Secondary to Cerebral Palsy

Distal Femur Hemiepiphysiodesis in Knee Recurvatum: A New Surgical Technique

Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal

Contact Info

Product

Resources

About