Proximal Hamstring Release in Cerebral Palsy
10.4055/jkoa.1979.14.4.621
- Author:
Nam Hyun KIM
;
Sung Jae KIM
- Publication Type:Original Article
- MeSH:
Animals;
Braces;
Cerebral Palsy;
Child;
Extremities;
Follow-Up Studies;
Gait;
Humans;
Knee;
Lordosis;
Muscle Spasticity;
Posture
- From:The Journal of the Korean Orthopaedic Association
1979;14(4):621-627
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Total release of the hamstrings of the knee from their origin was performed In nine cerebral plasied children. Eighteen procedures were performed in nine patients whose age ranged from three to sixteen years with an average of ten years. The average follow-up period was twenty one months from ten to thirty-six months. The spastic knee flexion was correction adequately; in mest instances the crouch posture was corrected, gait was improved, and a long stride was possible. The power of the hamstrings was assessed in the fourteen limbs of the children who could walk or cooperate in musicle testing. The power was graded as good in six knees and as normal in one. Seven showed improvement in gait; six patients who had never walked were able to do so after hamstring release; and one patient was able to stand up for the first time in his life after the operation. Eight out of nine cases are now able to stand up with or without support of a brace, and to walk with a brace in five cases and without support in two. However, increased lumbar lordosis and genu recurvatum has occurred in two cases each.
