Impact of femoral derotation osteotomy on gait in ambulatory children with cerebral palsy: A systematic review and meta-analysis.

ABSTRACT:

Background

Femoral derotation osteotomies (FDRO) are commonly performed in children with cerebral palsy who present with intoeing gait. However, the impact of FDRO on gait function and long-term results remains unclear.

Objective

This study aimed to quantify and qualify gait changes following gait-improving surgeries involving FDRO in ambulatory children with cerebral palsy and no associated hip pathologies, to support individualized decision-making regarding this invasive procedure.

Methods

A systematic search was conducted in May 2023 across six databases. Kinetic, kinematic, temporospatial parameters, and gait scores were extracted pre- and post-FDRO. A random-effects meta-analysis was performed.

Results

Forty-six articles, including 1144 patients, were anal

SUBMITTER: Gresits OZ 

PROVIDER: S-EPMC12519288 | biostudies-literature | 2026 Jan-Feb

REPOSITORIES: biostudies-literature