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[Rectus transfer in spastic diplegia].

W Wenz1, L Döderlein2

  • 1Orthopädie II-Schwerpunkt Rehabilitations-medizin, Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstraße 200a, D-69118, Heidelberg. Wolfram.Wenz@urz.uni-heidelberg.de.

Operative Orthopadie Und Traumatologie
|August 14, 2016
PubMed
Summary
This summary is machine-generated.

Medial transfer of the rectus femoris tendon effectively converts it into a hip and knee flexor, significantly improving spastic gait in patients. This surgical modification enhances foot clearance and knee function during walking.

Keywords:
Cerebral palsyRectus femoris muscleSpastic diplegiaTendon transfer

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Area of Science:

  • Orthopedic surgery
  • Biomechanics
  • Neuromuscular disorders

Context:

  • Spastic gait resulting from conditions like cerebral palsy often involves abnormal muscle function.
  • The rectus femoris muscle, normally a hip flexor and knee extensor, can contribute to gait abnormalities when spastic.
  • Improving foot clearance and knee flexion during the swing phase is crucial for functional ambulation.

Purpose:

  • To evaluate the functional outcomes of medially transferring the distal rectus femoris tendon.
  • To transform the rectus femoris from a hip flexor/knee extensor into a dual hip and knee flexor.
  • To assess the procedure's efficacy in improving spastic gait patterns.

Summary:

  • The study involved medially transferring the distal rectus femoris tendon in 137 patients (274 limbs).
  • This surgical technique alters the muscle's line of pull, enabling it to function as both a hip and knee flexor.
  • Post-operative follow-up, averaging 21 months, assessed gait improvement using the Gage score and Duncan-Ely test.

Impact:

  • Successfully improved gait in 94.8% of patients, with good to satisfactory results.
  • Demonstrated significant enhancement in foot clearance and knee flexion during the swing phase.
  • Reported no major complications, indicating a favorable safety profile for this rectus femoris tendon transfer procedure.