Distal Hamstring Lengthening
Distal Hamstring Lengthening Jon R. Davids DEFINITION The gait pattern of children with cerebral palsy (CP) is frequently disrupted by dynamic overactivity and shortening of the medial hamstring muscles. This…
Proximal Hamstring and Adductor Lengthening
Proximal Hamstring and Adductor Lengthening Freeman Miller Kirk W. Dabney DEFINITION Proximal hamstring lengthenings are primarily performed in the treatment of spastic hip subluxation, mainly in children prior to adolescence….
Rectus Femoris Transfer
Rectus Femoris Transfer Jon R. Davids DEFINITION The gait pattern of children with cerebral palsy (CP) is frequently disrupted by dynamic overactivity of the rectus femoris muscle. This disruption is…
Surgical Repair of Irreducible Congenital Dislocation of the Knee
Surgical Repair of Irreducible Congenital Dislocation of the Knee Matthew B. Dobbs DEFINITION Congenital dislocation of the knee (CDK) is a rare deformity that presents at birth as recurvatum. The…
Adductor and Iliopsoas Release
Adductor and Iliopsoas Release Tom F. Novacheck DEFINITION Psoas and adductor contractures are most common in cerebral palsy but can occur in any neuromuscular condition owing to disuse, muscular imbalance,…
Syme and Boyd Amputations for Fibular Deficiency
Syme and Boyd Amputations for Fibular Deficiency Anthony Scaduto Robert M. Bernstein DEFINITION Fibular deficiency, previously known as fibular hemimelia, is a longitudinal deficiency of the fibula. It is the…
Multiple Percutaneous Osteotomies and Fassier-Duval Telescoping Nailing of Long Bones in Osteogenesis Imperfecta
Multiple Percutaneous Osteotomies and Fassier-Duval Telescoping Nailing of Long Bones in Osteogenesis Imperfecta Paul W. Esposito François Fassier DEFINITION Children with osteogenesis imperfecta (OI) and syndromes with congenital brittle bones…
Distal Tibial Osteotomy
Distal Tibial Osteotomy J. Eric Gordon DEFINITION Angular deformities of the distal tibia can lead to varus or valgus malalignment of the ankle joint. Rotational deformities of the tibia include…
Guided Growth to Correct Limb Deformity
Guided Growth to Correct Limb Deformity Ryan D. Muchow Kenneth J. Noonan DEFINITION The anatomic axis is the mid-diaphyseal line of a bone. The anatomic angle of the lower extremity…
Limb Lengthening Using the Ilizarov Method or a Monoplanar Fixator
Limb Lengthening Using the Ilizarov Method or a Monoplanar Fixator Roger F. Widmann Emily R. Dodwell Purushottam A. Gholve Arkady Blyakher DEFINITION Limb lengthening is a surgical procedure performed to…
