The long-term outcome of pelvic asymmetry during gait in children with cerebral palsy following unilateral femoral derotation osteotomy.

Abstract

In this retrospective study, children with cerebral palsy underwent a unilateral femoral derotation osteotomy and had a preoperative (PO), short-term postoperative (1-3 years), and a long-term postoperative (≥5 years) gait analysis. Patients were subdivided into groups by the PO pelvic presentation and Gross Motor Function Classification System level. In children with PO pelvic external rotation, femoral derotation osteotomy decreased the hip internal rotation and decreased the pelvic external rotation. These results could influence surgical planning to achieve long-term pelvic asymmetry.

• Authors: Lucio Perotti, Chris Church, Robert Dina Jr, Nancy Lennon, John Henley, Julieanne Sees, Freeman Miller
• Journal: Journal of pediatric orthopedics. Part B (J Pediatr Orthop B) Vol. 28 Issue 4 Pg. 320-326 (Jul 2019) ISSN: 1473-5865 [Electronic] United States
• PMID: 31136373 (Publication Type: Journal Article)

Topics

• Adolescent
• Cerebral Palsy (physiopathology)
• Child
• Child, Preschool
• Female
• Femur (surgery)
• Gait
• Hip (physiology)
• Humans
• Male
• Osteotomy
• Postoperative Period
• Preoperative Period
• Recurrence
• Retrospective Studies
• Rotation
• Treatment Outcome
• Walking