• Users Online: 96
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2020  |  Volume : 3  |  Issue : 4  |  Page : 112-115

Orthopedic lower limb deformities in cerebral palsy: A case series


1 Department of Physical and Rehabilitation Medicine, Faculty of Medicine of Antananarivo, Equipment Teaching Hospital of Madagascar, Mahamasina, Madagascar
2 Department of Physical and Rehabilitation Medicine, Faculty of Medicine of Antananarivo, Rehabilitation Center of Madagascar, Antsirabe, Madagascar
3 Department of Orthopedic surgery, Faculty of Medicine of Antananarivo, Teaching Hospital of Anosiala, Madagascar

Correspondence Address:
Dr. Ranaivondrambola Ando Tatiana
Department of Physical and Rehabilitation Medicine, Equipment Teaching Hospital of Madagascar, Mahamasina, Antananarivo, Faculty of Medicine of Antananarivo
Madagascar
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jisprm.jisprm_17_20

Rights and Permissions

Introduction: One-third of children with cerebral palsy (CP) do not yet walk at the age of 5. Orthopedic deformity is one of the pathologies that may compromise the efficiency of gait in those patients. The aim of our study was to describe the clinical characteristics of orthopedic deformities for CP patients and to describe device prescription to manage the deformities. Methods: A retrospective chart review was conducted at the Equipment Teaching Hospital of Madagascar, after ethic committee approval, during a period of 1 year, from the beginning of January 2017 to the end of December 2017. Patients diagnosed with CP, during the period of the study, regardless of age and gender, were included in the study. Incomplete patients' records have been excluded from the study. The different types of orthopedic deformities were analyzed. Results: New cases of CP were in the order of 5.61% (n = 100) in 1783 new patients seen in consultation during 2017. Ninety-five patients were kept out. Eighty-nine percent of patients reported to the hospital after 12 months of age. Orthopedic deformity was detected in 48 patients, including 27.36% with deformity of the foot, 5.26% of the knee, 4.21% of the hip, and 16.84% of the spine. More than 73% of the patients had spasticity. In 45.26% of the cases, patients with CP had a complete functional restriction with a Gross Motor Function Classification System V (GMFCS), and only 27 patients had GMFCS I or II. In 82.1% of the cases, patients with CP needed devices to reduce their deficit or maintain functional gain. Conclusion: CP is a public health problem. Orthopedic deformities are often discovered late, affecting the gait quality for these patients. Orthopedic deformities prevention is crucial, and multidisciplinary care should be done early.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed292    
    Printed16    
    Emailed0    
    PDF Downloaded22    
    Comments [Add]    

Recommend this journal