Abstract:
:Between April 1979 and August 1993, we treated 39 patients (49 knees) with knee flexion deformity after Poliomyelitis. All were subjected to fractional hamstring lengthening and supracondylar femoral extension osteotomy in the same surgical procedure. The goal was to correct the deformity and fit the lower extremities in long braces to improve or promote gait. Patients' mean age was 19.5 (6.5-39) years and the mean knee flexion deformity was 65 degrees (24-158 degrees). The mean follow-up was 15.5 (11.5-25) years. Postoperatively, 22 knees had full extension, in 26 there was an extension lag between -1 and -10 degrees and in one a lag greater than 10 degrees. There were no neurovascular complications and all patients were fitted with long leg braces. Surgical planning is important, especially in severe deformities, where shortening of the femur is necessary to facilitate the osteotomy and relax the neurovascular structures.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
de Moraes Barros Fucs PM,Svartman C,de Assumpção RMdoi
10.1007/s00264-005-0007-5keywords:
subject
Has Abstractpub_date
2005-12-01 00:00:00pages
380-4issue
6eissn
0341-2695issn
1432-5195journal_volume
29pub_type
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pub_type: 古典文章,历史文章,杂志文章
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pub_type: 传,历史文章,杂志文章
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pub_type: 杂志文章
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