Distal femoral extension and shortening osteotomy as a part of multilevel surgery in children with cerebral palsy
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Distal femoral extension and shortening osteotomy as a part of multilevel surgery in children with cerebral palsy Matthias C.M. Klotz, Klemens Hirsch, Daniel Heitzmann, Michael W. Maier, Sebastien Hagmann, Thomas Dreher Heidelberg, Germany
Methods: In this retrospective study, 31 limbs of 22 children (GMFCS I-III; mean age: 12.1±3.1 years), who received DFESO were included and kinematic parameters (knee, pelvis) measured by 3-D-gait analysis were compared before and at least 1 year after surgery (mean follow-up period: 15.6 months). Results: After surgery, during stance phase minimum knee flexion improved significantly by 20.5° (P
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