Evaluation long term results of orthopedics operative treatment in lower limb of spastic cerebral palsy

Abstract

Background: Cerebral Palsy (CP) is one of the most common causes of disability in children in developing countries. Orthopedic Surgery of the spastic type are common role in the treatment of upper and lower extremity deformities. Lower limb muscle involvement in various causes induced skeletal abnormalities and stature in the hip joints, knees and ankles pattern they will affect of the patients standing and walking. In the results of orthopedic surgical procedures are discrepancies that performed on the lower extremities of patients with cerebral palsy. The purpose of this study was to evaluate the results of surgical treatment of orthopedic soft tissue of the patient's cerebral palsy. Methods: In a descriptive-analytical study, 100 patients with spastic cerebral palsy under lower limb soft tissue procedure were evaluated. Functional ability, standing and walking pattern, and range of motion of the ankle joint is examined. Results: In this study, 100 patients, including 68 males and 32 female were studied. The mean age was 8.5 ± 4 years. Inability to stand independently was at 29% and the ability to walk independently at 71% of the preoperative and postoperative was 5% and 95%. The rate of postoperative equines gait 13%, and calcaneal deformity has been created 17%. The overall recurrence rate after two years, 29% and overcorrection has been 8%. In terms of functional performance between before and after surgery, there were no statistically significant differences. Conclusions: Based on the results of surgical treatment of soft tissue in spastic cerebral palsy in patients gait and standing are successful. Calcaneal deformity of is important long-term complications of surgery. Equines gait has a low recurrence rate with this treatment and was not associated with the short-term effects.