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Contractures in cerebral palsy.

M M Hoffer, R T Knoebel, R Roberts

    Clinical Orthopaedics and Related Research
    |June 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Cerebral palsy (CP) contractures typically affect hips, knees, and ankles. Surgical release is effective, but managing rarer extension or dorsiflexion contractures in CP requires distinct operative approaches.

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    Area of Science:

    • Orthopedic surgery
    • Pediatric neurology

    Background:

    • Cerebral palsy (CP) commonly causes flexion contractures in hips and knees, and plantar flexion in ankles.
    • Surgical intervention is a standard treatment for these deformities when indicated.

    Purpose of the Study:

    • To outline the surgical management strategies for contractures in cerebral palsy (CP).
    • To address the distinct approaches needed for both typical and atypical contracture patterns in CP.

    Main Methods:

    • Review of surgical techniques for managing hip, knee, and ankle contractures in cerebral palsy.
    • Analysis of operative procedures for flexion and extension deformities.

    Main Results:

    • Standard surgical release effectively addresses typical flexion contractures of the hip and knee, and plantar flexion of the ankle in CP.

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  • Extension contractures of the hip and knee, and dorsiflexion contractures of the ankle, while less common, necessitate different surgical procedures for correction in CP patients.

    • Conclusions:

    • Effective management of contractures in cerebral palsy requires recognizing the pattern of deformity.
    • Different surgical strategies are essential for treating typical flexion contractures versus rarer extension or dorsiflexion contractures in CP.