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Svehlik, M; Kraus, T; Steinwender, G; Zwick, EB; Saraph, V; Linhart, WE; .
The Baumann procedure to correct equinus gait in children with diplegic cerebral palsy Long-term results.
J Bone Joint Surg Br. 2012; 94(8):1143-1147 Doi: 10.1302/0301-620X.94B8.28447
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Leading authors Med Uni Graz: Kraus Tanja; Svehlik Martin
Co-authors Med Uni Graz: Linhart Wolfgang; Saraph Vinay; Steinwender Gerhardt; Zwick Bernhard-Ernst
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Abstract:: Although equinus gait is the most common abnormality in children with spastic cerebral palsy (CP) there is no consistency in recommendations for treatment, and evidence for best practice is lacking. The Baumann procedure allows selective fractional lengthening of the gastrocnemii and soleus muscles but the long-term outcome is not known. We followed a group of 18 children (21 limbs) with diplegic CP for ten years using three-dimensional instrumented gait analysis. The kinematic parameters of the ankle joint improved significantly following this procedure and were maintained until the end of follow-up. We observed a normalisation of the timing of the key kinematic and kinetic parameters, and an increase in the maximum generation of power of the ankle. There was a low rate of overcorrection (9.5%, n = 2), and a rate of recurrent equinus similar to that found with other techniques (23.8%, n = 5). As the procedure does not impair the muscle architecture, and allows for selective correction of the contracted gastrocnemii and soleus, it may be recommended as the preferred method for correction of a mild fixed equinus deformity.
Find related publications in this database (using NLM MeSH Indexing): Adolescent -; Ankle Joint - physiopathology Ankle Joint - surgery; Cerebral Palsy - complications Cerebral Palsy - physiopathology; Child -; Equinus Deformity - etiology Equinus Deformity - physiopathology Equinus Deformity - surgery; Female -; Follow-Up Studies -; Gait - physiology; Gait Disorders, Neurologic - etiology Gait Disorders, Neurologic - physiopathology Gait Disorders, Neurologic - surgery; Humans -; Knee Joint - physiopathology; Male -; Muscle, Skeletal - surgery; Postoperative Care - methods; Range of Motion, Articular -; Retrospective Studies -; Treatment Outcome -