Cover Image

Mid-term results of distal femoral extension and shortening osteotomy in treating flexed knee gait in children with cerebral palsy

Background: Distal femoral extension and shortening osteotomy (DFESO) seems to be an effective method for the treatment of flexed knee gait in children with cerebral palsy. Nevertheless, studies investigating the mid- and long-term outcomes after such procedures are lacking in the literature. Theref...

Full description

Saved in:
Bibliographic Details
Main Authors: Geisbüsch, Andreas (Author) , Klotz, Matthias C. M. (Author) , Putz, Cornelia (Author) , Renkawitz, Tobias (Author) , Horsch, Axel (Author)
Format: Article (Journal)
Language:English
Published: 20 September 2022
In: Children
Year: 2022, Volume: 9, Issue: 10, Pages: 1-11
ISSN:2227-9067
DOI:10.3390/children9101427
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3390/children9101427
Verlag, lizenzpflichtig, Volltext: https://www.mdpi.com/2227-9067/9/10/1427
Get full text
Author Notes:Andreas Geisbüsch, Matthias C.M. Klotz, Cornelia Putz, Tobias Renkawitz and Axel Horsch

MARC

LEADER 00000caa a2200000 c 4500
001 1830458523
003 DE-627
005 20230118114135.0
007 cr uuu---uuuuu
008 230105s2022 xx |||||o 00| ||eng c
024 7 |a 10.3390/children9101427  |2 doi 
035 |a (DE-627)1830458523 
035 |a (DE-599)KXP1830458523 
035 |a (OCoLC)1361669713 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Geisbüsch, Andreas  |d 1984-  |e VerfasserIn  |0 (DE-588)1026036178  |0 (DE-627)725953306  |0 (DE-576)37102899X  |4 aut 
245 1 0 |a Mid-term results of distal femoral extension and shortening osteotomy in treating flexed knee gait in children with cerebral palsy  |c Andreas Geisbüsch, Matthias C.M. Klotz, Cornelia Putz, Tobias Renkawitz and Axel Horsch 
264 1 |c 20 September 2022 
300 |b Illustrationen 
300 |a 11 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Gesehen am 05.01.2023 
520 |a Background: Distal femoral extension and shortening osteotomy (DFESO) seems to be an effective method for the treatment of flexed knee gait in children with cerebral palsy. Nevertheless, studies investigating the mid- and long-term outcomes after such procedures are lacking in the literature. Therefore, the purpose of this study was to assess the mid-term outcomes regarding sagittal plane kinematics of the knee after DFESO with or without concomitant patella advancement. Furthermore, an evaluation of the postoperative course and possible recurrence of flexed knee gait was planned. Methods: In a prospective observational study, 19 patients (28 limbs; mean age 11.8 years (6.7-16.0 years)) were examined using 3-D gait analysis and clinical exam before (E0) and at a mean of 38 months (E2: 24-55 months) after surgery. Fifteen patients (22 limbs) had an additional first postoperative gait analysis (E1) after a mean of 14 (10-20) months after surgery. In these patients, the postoperative changes between the short-term and mid-term gait analyses were evaluated. Results: DFESO led to a significant decrease in flexed knee gait with an improvement in sagittal plane kinematics during the stance phase. In addition, a slightly increased anterior pelvic tilt was observed at E1, and we found a tendency towards stiff knee gait with a decrease in mean knee flexion in swing at E2. Conclusions: DFESO led to a significant improvement in flexed knee gait in children with cerebral palsy. The therapeutic effect seems to be lasting on mid-term follow-up with a slight overall tendency to recurrence. 
650 4 |a cerebral palsy 
650 4 |a DEFSO 
650 4 |a distal femoral extension 
650 4 |a shortening osteotomy 
700 1 |a Klotz, Matthias C. M.  |d 1982-  |e VerfasserIn  |0 (DE-588)1013229975  |0 (DE-627)663823897  |0 (DE-576)34673522X  |4 aut 
700 1 |a Putz, Cornelia  |d 1979-  |e VerfasserIn  |0 (DE-588)132069296  |0 (DE-627)517465272  |0 (DE-576)29892692X  |4 aut 
700 1 |a Renkawitz, Tobias  |d 1976-  |e VerfasserIn  |0 (DE-588)129303615  |0 (DE-627)392614979  |0 (DE-576)297588028  |4 aut 
700 1 |a Horsch, Axel  |d 1985-  |e VerfasserIn  |0 (DE-588)1170262481  |0 (DE-627)1038156831  |0 (DE-576)512461066  |4 aut 
773 0 8 |i Enthalten in  |t Children  |d Basel : MDPI, 2013  |g 9(2022), 10 vom: Sept., Artikel-ID 1427, Seite 1-11  |h Online-Ressource  |w (DE-627)768093007  |w (DE-600)2732685-8  |w (DE-576)393634949  |x 2227-9067  |7 nnas  |a Mid-term results of distal femoral extension and shortening osteotomy in treating flexed knee gait in children with cerebral palsy 
773 1 8 |g volume:9  |g year:2022  |g number:10  |g month:09  |g elocationid:1427  |g pages:1-11  |g extent:11  |a Mid-term results of distal femoral extension and shortening osteotomy in treating flexed knee gait in children with cerebral palsy 
856 4 0 |u https://doi.org/10.3390/children9101427  |x Verlag  |x Resolving-System  |z lizenzpflichtig  |3 Volltext 
856 4 0 |u https://www.mdpi.com/2227-9067/9/10/1427  |x Verlag  |z lizenzpflichtig  |3 Volltext 
951 |a AR 
992 |a 20230105 
993 |a Article 
994 |a 2022 
998 |g 1170262481  |a Horsch, Axel  |m 1170262481:Horsch, Axel  |d 910000  |d 911460  |e 910000PH1170262481  |e 911460PH1170262481  |k 0/910000/  |k 1/910000/911460/  |p 5  |y j 
998 |g 129303615  |a Renkawitz, Tobias  |m 129303615:Renkawitz, Tobias  |d 910000  |d 911460  |e 910000PR129303615  |e 911460PR129303615  |k 0/910000/  |k 1/910000/911460/  |p 4 
998 |g 132069296  |a Putz, Cornelia  |m 132069296:Putz, Cornelia  |d 910000  |d 911460  |d 50000  |e 910000PP132069296  |e 911460PP132069296  |e 50000PP132069296  |k 0/910000/  |k 1/910000/911460/  |k 0/50000/  |p 3 
998 |g 1013229975  |a Klotz, Matthias C. M.  |m 1013229975:Klotz, Matthias C. M.  |d 50000  |e 50000PK1013229975  |k 0/50000/  |p 2 
998 |g 1026036178  |a Geisbüsch, Andreas  |m 1026036178:Geisbüsch, Andreas  |d 910000  |d 911460  |e 910000PG1026036178  |e 911460PG1026036178  |k 0/910000/  |k 1/910000/911460/  |p 1  |x j 
999 |a KXP-PPN1830458523  |e 4244513477 
BIB |a Y 
SER |a journal 
JSO |a {"origin":[{"dateIssuedKey":"2022","dateIssuedDisp":"20 September 2022"}],"note":["Gesehen am 05.01.2023"],"recId":"1830458523","relHost":[{"recId":"768093007","pubHistory":["1.2013 -"],"origin":[{"publisherPlace":"Basel","dateIssuedKey":"2013","dateIssuedDisp":"2013-","publisher":"MDPI"}],"physDesc":[{"extent":"Online-Ressource"}],"disp":"Mid-term results of distal femoral extension and shortening osteotomy in treating flexed knee gait in children with cerebral palsyChildren","id":{"issn":["2227-9067"],"zdb":["2732685-8"],"eki":["768093007"]},"part":{"volume":"9","extent":"11","issue":"10","year":"2022","pages":"1-11","text":"9(2022), 10 vom: Sept., Artikel-ID 1427, Seite 1-11"},"title":[{"title":"Children","subtitle":"open access pediatrics journal","title_sort":"Children"}],"language":["eng"],"type":{"bibl":"periodical","media":"Online-Ressource"}}],"type":{"media":"Online-Ressource","bibl":"article-journal"},"language":["eng"],"name":{"displayForm":["Andreas Geisbüsch, Matthias C.M. Klotz, Cornelia Putz, Tobias Renkawitz and Axel Horsch"]},"person":[{"family":"Geisbüsch","given":"Andreas","display":"Geisbüsch, Andreas","role":"aut"},{"family":"Klotz","given":"Matthias C. M.","display":"Klotz, Matthias C. M.","role":"aut"},{"given":"Cornelia","display":"Putz, Cornelia","role":"aut","family":"Putz"},{"display":"Renkawitz, Tobias","given":"Tobias","role":"aut","family":"Renkawitz"},{"role":"aut","display":"Horsch, Axel","given":"Axel","family":"Horsch"}],"title":[{"title_sort":"Mid-term results of distal femoral extension and shortening osteotomy in treating flexed knee gait in children with cerebral palsy","title":"Mid-term results of distal femoral extension and shortening osteotomy in treating flexed knee gait in children with cerebral palsy"}],"id":{"eki":["1830458523"],"doi":["10.3390/children9101427"]},"physDesc":[{"extent":"11 S.","noteIll":"Illustrationen"}]} 
SRT |a GEISBUESCHMIDTERMRES2020 

Similar Items