The increase of anterior pelvic tilt after semitendinosus transfer to distal femur in patients with spastic diplegic cerebral palsy. Issue 4 (July 2019)

• Record Type: Journal Article
• Authors: de Morais Filho, Mauro C.; Fujino, Marcelo H.; Kawamura, Cátia M.; Dos Santos, Carlos A.; Lopes, José A.F.; Blumetti, Francesco C.; Mattar Junior, Rames
• Is Part Of: Journal of pediatric orthopedics. Volume 28:Issue 4(2019)
• Publication Date: 2019-07
• Subjects: cerebral palsy -- contracture -- knee -- pelvic tilt -- tendon transfer; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000577
• Languages: English
• ISSNs: 1060-152X

Abstract

Abstract : The aim of this study was to compare semitendinosus transfer to distal femur (STTX) to semitendinosus surgical lengthening (STL) regarding the increase of anterior pelvic tilt after flexed knee gait treatment. Thirty-nine patients were evaluated, and they were divided according surgical procedures at knees: STL group (22 patients/44 knees), which included patients who received medial hamstrings surgical lengthening as part of multilevel approach, and STTX group (17 patients/34 knees), which was represented by patients who underwent orthopedic surgery including a STTX instead of STL. In the present study, the mean anterior pelvic tilt increased in all groups after treatment and STTX was not effective to prevent it in a medium-term follow-up.