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The long-term outcome of pelvic asymmetry during gait in children with cerebral palsy following unilateral femoral derotation osteotomy

Perotti, Lucio; Church, Chris; Dina, Robert Jr; Lennon, Nancy; Henley, John; Sees, Julieanne; Miller, Freeman

Journal of Pediatric Orthopaedics B: July 2019 - Volume 28 - Issue 4 - p 320–326
doi: 10.1097/BPB.0000000000000613
CEREBRAL PALSY
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In this retrospective study, children with cerebral palsy underwent a unilateral femoral derotation osteotomy and had a preoperative (PO), short-term postoperative (1–3 years), and a long-term postoperative (≥5 years) gait analysis. Patients were subdivided into groups by the PO pelvic presentation and Gross Motor Function Classification System level. In children with PO pelvic external rotation, femoral derotation osteotomy decreased the hip internal rotation and decreased the pelvic external rotation. These results could influence surgical planning to achieve long-term pelvic asymmetry.

Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA

This abstract was presented at the 71st Annual Meeting of the American Academy for Cerebral Palsy and Developmental Medicine, 13–16 September 2017, Montreal, Quebec, Canada.

Correspondence to Chris Church, MPT, Gait Lab, Nemours/Alfred I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803, USA Tel: +1 302 651 4614; fax: +1 302 651 5144; e-mail: chris.church@nemours.org

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