To assess the improvement of cerebral palsy patients with single event multilevel surgery
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Spastic or contractural deformities at multiple joints of cerebral palsy patients, is the major reason for their poor quality of life. There is no cure to cerebral palsy, but various forms of therapy can help patients with this disorder to function more effectively. One such multidisciplinary intervention is “single event multi level Surgery”. Our aim was to assess the improvement of cerebral palsy patients with single event multilevel surgery. It was a hospital based descriptive study with 143 patients over a period of 36 months. All patients with spastic type cerebral palsy having adequate standing balance without any significant prior surgeries were included. Different soft tissue or bony Procedures were done at hip, knee and ankle at single sitting according to Deformities. Postoperative improvement was assessed with Gross motor function Classification system and gait. Postoperatively 40 patients had improvement in one level of GMFCS score, 60 had two level, 21 had three level and 13 had four Level improvement, but 5 remained constant. Of the 51 who were unable to walk, 40 became household ambulators and 7 became community ambulators and of The 64 house hold ambulators, 63 became community ambulators. Overall, we appreciated a significant improvement in gait and functional ability of patients with single event multilevel surgery. Gait parameters improved much faster and to a greater degree than did functional parameters showing their nonlinear Relation. Post-surgical physiotherapy is vital in maintaining and improving the Function.
Authors and Affiliations
Avinash CK, Ullas Mahesh
Keywords
Related Articles
- EP ID EP500412
- DOI 10.22271/ortho.2017.v3.i1h.80
- Views 84
- Downloads 0
Comparative study between proximal femoral nail and dynamic hip screw with trochanteric stabilizing Plate (TSP) in unstable intertrochantric femur fractures
Background: Unstable fractures accounts for approximately 50 to 60% of all intertrochanteric fractures. Failure rates of (DHS) dynamic hip screw for unstable fracture patterns are as high as 50%. Proximal femoral nail is...
A study on femur neck shaft angle and its clinical importance
Introduction: Prevalence of hip osteoarthritis, fracture neck femur and other hip joint ailments are increasing day by day. Arthroplasty is the definite treatment for these patients. The femur forms the skeleton of the t...
Comparision of locked compresion plate and limited contact dynamic compresion plate for internal fixation of both bone forearm
Background: The locking compression plate (LCP) is a newer modality for fracture fixation of both bone forearm fractures. The aim of the study is to compare this modality with the conventional Limited contact dynamic com...
Functional outcome of comminuted inter trochanteric fractures of femur treated using cemented bipolar hemiarthroplasty in elderly patients: A prospective study
Introduction: The management of comminuted inter trochanteric fractures of femur in elderly patients is tricky as there is challenge of difficult anatomical reduction in osteoporotic bones, need for prolonged immobilizat...
A Comparative study to evaluate the effectiveness of lumbar epidural local anaesthetic injection with or without corticosteroid in managing chronic low back pain
The aim was to compare and evaluate the effectiveness of lumbar epidural local anaesthetic injections with and without corticosteroids in managing low back pain. We studied a 100 patients to assess effectiveness of epidu...