Current concepts of surgical management of deformities of the lower extremities in cerebral palsy

In cerebral palsy, principles involved in proper selection of orthopedic management of the lower limbs include diagnosis, timing, goals, degree of involvement, linkage, kinetic electromyography, retention of neonatal automatisms, and dynamic versus fixed deformity, as well as the physical plant and...

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Bibliographic Details
Published inClinical orthopaedics and related research no. 158; p. 99
Main Author Samilson, R L
Format Journal Article
LanguageEnglish
Published United States 01.07.1981
Subjects
Ankle Joint - physiopathology
Cerebral Palsy - physiopathology
Cerebral Palsy - surgery
Child
Decision Making
Electromyography
Hip Joint - physiopathology
Humans
Infant, Newborn
Knee Joint - physiopathology
Leg - physiopathology
Leg - surgery
Muscles - physiopathology
Reflex, Abnormal
Time Factors
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Summary:In cerebral palsy, principles involved in proper selection of orthopedic management of the lower limbs include diagnosis, timing, goals, degree of involvement, linkage, kinetic electromyography, retention of neonatal automatisms, and dynamic versus fixed deformity, as well as the physical plant and professional skills. Specific lower extremity problems in the hip, knee, ankle, and foot must be analyzed and management for each should be approached on a rational basis. Unsolved enigmatic problems of etiology, pathways of neonatal automatisms that impose abnormal posturing, neurophysiologic mechanisms of spasticity, athetosis, rigidity and ataxia, pathogenesis of contracture, linkage biomechanics, and the neurologic, including the biomechanical effects of surgical intervention, require special research programs.
ISSN:0009-921X
DOI:10.1097/00003086-198107000-00014