Cureus · 2026
Gait Analysis of Kinematic Changes After Vulpius Gastrocnemius Recession in Children With Spastic Hemiplegic Cerebral Palsy and Equinus Deformity.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Galicia-Zamalloa Ana Luisa, Gómez-Chavarria Jorge, González-Ramírez Rafael, Sánchez-Gómez Víctor Hugo
Аннотация
BACKGROUND: Equinus deformity is a common gait abnormality in children with spastic hemiplegic cerebral palsy, resulting in altered ankle kinematics and impaired gait mechanics. Surgical lengthening of the gastrocnemius-Achilles complex aims to restore ankle dorsiflexion and improve functional ambulation.
METHODS: A retrospective observational study was conducted, including pediatric patients with spastic hemiplegia and equinus deformity treated with Vulpius gastrocnemius recession. Three-dimensional gait analysis was performed preoperatively and six months postoperatively. Kinematic parameters were compared using the Wilcoxon signed-rank test.
RESULTS: Twenty-four patients were included. Significant improvements were observed in ankle dorsiflexion at initial contact and during the swing phase, allowing restoration of heel strike and improved foot clearance. Weight-bearing distribution increased from 30% to 49%. Knee kinematics showed partial improvement. Recurrence of equinus deformity occurred in four patients.
CONCLUSIONS: Vulpius gastrocnemius recession improves ankle kinematics and gait mechanics in children with spastic hemiplegic cerebral palsy, supporting its role as an effective surgical option for equinus deformity.
METHODS: A retrospective observational study was conducted, including pediatric patients with spastic hemiplegia and equinus deformity treated with Vulpius gastrocnemius recession. Three-dimensional gait analysis was performed preoperatively and six months postoperatively. Kinematic parameters were compared using the Wilcoxon signed-rank test.
RESULTS: Twenty-four patients were included. Significant improvements were observed in ankle dorsiflexion at initial contact and during the swing phase, allowing restoration of heel strike and improved foot clearance. Weight-bearing distribution increased from 30% to 49%. Knee kinematics showed partial improvement. Recurrence of equinus deformity occurred in four patients.
CONCLUSIONS: Vulpius gastrocnemius recession improves ankle kinematics and gait mechanics in children with spastic hemiplegic cerebral palsy, supporting its role as an effective surgical option for equinus deformity.