BIT's 4th Annual World Congress of Orthopaedics 2017

27 / 2017-04-11 00:03:19

SURGICAL TREATMENT FOR LOWER LIMB DEFORMITIES IN PATIENTS WITH CEREBRAL PALSY

13393

Objective:To explore the effectiveness of surgicial treatment for lower limb deformities due to cerebral palsy.Methods:From January 2013 to January 2014,12 patients with cerebral palsy combined with lower limb deformities were treated.There were seven females and five males in this group.Their age ranged from 6 years to 35 years.Among them ,there were four patients who were incapable of standing by aids.8 patients hobbled in an awkard way.The lower limb deformities included double knee flextion deformities in 1 patients,talipse equinovarus in 2 patients,double hip adduction and knee flexion deformities in 2 patiens,single hip adduction combined with knee flextion and talipse equinovarus in 2 patients,double hip adduction combined with knee flextion and foot deformities in 5 patients .They were treated with tendon lengthening ,tendon displacement,arthrodesis and external fixation,in order to gain nomal axial alignment of lower extremity and stable joint.external fixation devices included Ilizarov external fixtor in 2 patients, combined external fixator in 6 patients and long leg cast in 4 patients.
Results: Their axial alignment of lower limb acquired obviously restored, four paitents could stand with the aids,eight patients could walk by themselves and their gait improved.
Conclusions:The surgical key points includes tendon lengthening,soft tissue balance and stabilizing joints.After all rehabilitation have important impact for the prognosis.