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The article highlights the literature devoted to the problem of torsional deformities of the lower limbs in patients with infantile cerebral palsy. It also describes biomechanical features peculiar to the patients with infantile cerebral palsy, as well as long-term results of performed surgical interventions.

Nikita Olegovich Husainov

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, PhD student of the department of arthrogryposis

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  7. Arnold A. S., Asakawa D. J., Delp S. L. Do the hamstrings and adductors contribute to excessive internal rotation of the hip in persons with cerebral palsy? // Gait Posture. 2000. Jun; 11(3): 181-90.
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  9. Carriero A., Zavatsky A., Stebbins J. [et al.] Correlation between lower limb bone morphology and gait characteristics in children with spastic diplegic cerebral palsy // J. Pediatr. Orthop. 2009. Jan-Feb; 29(1): 73-9.
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  13. Dodgin D. A., De Swart R. J., Stefko R. M. [et al.] Distal tibial / fibular derotation osteotomy for correction of tibial torsion: review of technique and results in 63 cases // J. Pediatr. Orthop. 1998. Jan-Feb; 18(1): 95-101.
  14. Flack N. A., Nicholson H. D., Woodley S. J. A review of the anatomy of the hip abductor muscles, gluteus medius, gluteus minimus, and tensor fascia lata // Clin. Anat. 2012. Sep; 25(6): 697-708.
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  19. Lofterød Bjørn and Terjesen Terje. Changes in lower limb rotation after soft tissue surgery in spastic diplegia. 3-dimensional gait analysis in 28 children // Acta Orthop. 2010. Apr; 81(2): 245-9.
  20. Lovejoy S. A., Tylkowski C., Oeffinger D., Sander L. The effects of hamstring lengthening on hip rotation // J. Pediatr Orthop. 2007. Mar; 27(2): 142-6.
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  22. Marcucci A., Edouard P., Loustalet E. [et al.]. Efficiency of flexible derotator in walking cerebral palsy children // Ann Phys. Rehabil. Med. 2011. Sep; 54(6): 337-47.
  23. O’Sullivan R., Walsh M., Hewart P. [et al.]. Factors associated with internal hip rotation gait in patients with cerebral palsy // J. Pediatr. Orthop. 2006. Jul-Aug; 26(4): 537-41.
  24. Radler C., Kranzl A., Manner H. M. [et al.]. Torsional profile versus gait analysis: consistency between the anatomic torsion and the resulting gait pattern in patients with rotational malalignment of the lower extremity // Gait Posture. 2010. Jul; 32(3): 405-10.
  25. Rethlefsen S. A., Healy B. S., Wren T. A. [et al.]. Causes of intoeing gait in children with cerebral palsy // J. Bone Joint Surg. Am. 2006. Oct; 88(10): 2175-80.
  26. Ryan D. D., Rethlefsen S. A., Skaggs D. L., Kay R. M. Results of tibial rotational osteotomy without concomitant fibular osteotomy in children with cerebral palsy // J. Pediatr. Orthop. 2005. Jan-Feb; 25(1): 84-8.
  27. Schmidt D. J., Arnold A. S., Carroll N. C., Delp S. L. Length changes of the hamstrings and adductors resulting from derotational osteotomies of the femur // J. Orthop. Res. 1999. Mar; 17(2): 279-85.
  28. Stefko R. M., de Swart R. J., Dodgin D. A. [et al.]. Kinematic and kinetic analysis of distal derotational osteotomy of the leg in children with cerebral palsy // J. Pediatr. Orthop. 1998. Jan-Feb; 18(1): 81-7.
  29. Steinwender G., Saraph V., Zwick E. B. [et al.]. Assessment of hip rotation after gait improvement surgery in cerebral palsy // Acta Orthop Belg. 2000. Jun; 66(3): 259-64.
  30. Sutherland D. H., Davids J. R. Common gait abnormalities of the knee in cerebral palsy // Clin. Orthop. Relat. Res. 1993. Mar; (288): 139-47.


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Copyright (c) 2014 Husainov N.O.

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