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Orthop Traumatol Surg Res. 2017 Feb;103(1S):S105-S111. doi: 10.1016/j.otsr.2016.11.004. Epub 2016 Nov 15.

Contribution of clinical gait analysis to single-event multi-level surgery in children with cerebral palsy.

Author information

1
Service de chirurgie orthopédique pédiatrique, hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75743 Paris cedex 15, France; Unité d'analyse du mouvement, pôle recherche & innovation, Fondation Ellen-Poidatz, 1, rue Ellen-Poidatz, 77310 Saint-Fargeau-Ponthierry, France. Electronic address: nejib.khouri@gmail.com.
2
Unité d'analyse du mouvement, pôle recherche & innovation, Fondation Ellen-Poidatz, 1, rue Ellen-Poidatz, 77310 Saint-Fargeau-Ponthierry, France. Electronic address: eric.desailly@fondationpoidatz.com.

Abstract

Clinical gait analysis (CGA) has been proven useful in understanding the gait disturbances seen in children and adolescents with cerebral palsy. Another major benefit provided by CGA is a clinical and scientific evaluation of how orthopaedic surgical procedures modify gait. The information provided by instrumented CGA complements the clinical data, and the two must be interpreted jointly. Although there is some variability in the surgical details of therapeutic strategies, CGA undoubtedly influences the planning of surgery. Although CGA improves surgical outcomes, these remain challenging to predict. CGA seems cost-effective. Internal hip rotation gait is used as an example to illustrate those benefits.

KEYWORDS:

Cerebral palsy; Clinical gait analysis; Multi-level surgery

PMID:
27988239
DOI:
10.1016/j.otsr.2016.11.004
[Indexed for MEDLINE]
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