PMID- 25820899
OWN - NLM
STAT- MEDLINE
DCOM- 20150601
LR  - 20160525
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 97-B
IP  - 4
DP  - 2015 Apr
TI  - The transverse Vulpius gastrocsoleus recession for equinus gait in children with 
      cerebral palsy.
PG  - 564-71
LID - 10.1302/0301-620X.97B4.34887 [doi]
AB  - We report the results of Vulpius transverse gastrocsoleus recession for equinus 
      gait in 26 children with cerebral palsy (CP), using the Gait Profile Score (GPS), 
      Gait Variable Scores (GVS) and movement analysis profile. All children had an 
      equinus deformity on physical examination and equinus gait on three-dimensional 
      gait analysis prior to surgery. The pre-operative and post-operative GPS and GVS 
      were statistically analysed. There were 20 boys and 6 girls in the study cohort 
      with a mean age at surgery of 9.2 years (5.1 to 17.7) and 11.5 years (7.3 to 
      20.8) at follow-up. Of the 26 children, 14 had spastic diplegia and 12 spastic 
      hemiplegia. Gait function improved for the cohort, confirmed by a decrease in 
      mean GPS from 13.4 degrees  pre-operatively to 9.0 degrees  final review (p < 0.001). The change 
      was 2.8 times the minimal clinically important difference (MCID). Thus the 
      improvements in gait were both clinically and statistically significant. The 
      transverse gastrocsoleus recession described by Vulpius is an effective procedure 
      for equinus gait in selected children with CP, when there is a fixed contracture 
      of the gastrocnemius and soleus muscles.
CI  - (c)2015 The British Editorial Society of Bone & Joint Surgery.
FAU - Tinney, A
AU  - Tinney A
AD  - The University of Melbourne, Flemington Road, Parkville, Victoria 3052, 
      Australia.
FAU - Thomason, P
AU  - Thomason P
AD  - The Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, 
      Australia.
FAU - Sangeux, M
AU  - Sangeux M
AD  - The Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, 
      Australia.
FAU - Khot, A
AU  - Khot A
AD  - Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, Australia.
FAU - Graham, H K
AU  - Graham HK
AD  - Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, Australia.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - IM
MH  - Adolescent
MH  - Cerebral Palsy/*complications
MH  - Child
MH  - Child, Preschool
MH  - Contracture/etiology/surgery
MH  - Equinus Deformity/etiology/physiopathology/*surgery
MH  - Female
MH  - Gait Disorders, Neurologic/etiology/physiopathology/*surgery
MH  - Humans
MH  - Male
MH  - Muscle, Skeletal/*surgery
MH  - Orthopedic Procedures/methods
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - Gait Profile Score
OT  - Vulpius
OT  - cerebral palsy
OT  - gastrocsoleus
OT  - kinematics
OT  - recession
EDAT- 2015/03/31 06:00
MHDA- 2015/06/02 06:00
CRDT- 2015/03/31 06:00
PHST- 2015/03/31 06:00 [entrez]
PHST- 2015/03/31 06:00 [pubmed]
PHST- 2015/06/02 06:00 [medline]
AID - 97-B/4/564 [pii]
AID - 10.1302/0301-620X.97B4.34887 [doi]
PST - ppublish
SO  - Bone Joint J. 2015 Apr;97-B(4):564-71. doi: 10.1302/0301-620X.97B4.34887.