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  • Title: Surgical management of the lower extremity in ambulatory children with cerebral palsy.
    Author: Karol LA.
    Journal: J Am Acad Orthop Surg; 2004; 12(3):196-203. PubMed ID: 15161173.
    Abstract:
    Despite the increasing popularity of nonorthopaedic treatment alternatives for children with cerebral palsy, bony and soft-tissue surgery remains a common component in the management of ambulatory patients. Multisite simultaneous tendon surgery provides improvement in gait by addressing hip, knee, and ankle contractures together. Careful preoperative physical examination is required; computerized gait analysis can be useful in confirming a plan for multiple tendon surgeries. Rotational osteotomies can improve transverse-plane malalignment. Shorter periods of immobilization and aggressive postoperative gait training and strengthening may optimize improvements in gait.
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