Indications for gastrocsoleus lengthening in ambulatory children with cerebral palsy: a Delphi consensus study.

ABSTRACT:

Purpose

Equinus is the most common deformity in cerebral palsy (CP) and gastrocsoleus lengthening (GSL) is the most commonly performed surgery to improve gait and function in ambulatory children with CP. Substantial variation exists in the indications for GSL and surgical technique. The purpose of this study was to review surgical anatomy and biomechanics of the gastrocsoleus and to utilize expert orthopaedic opinion through a Delphi technique to establish consensus for surgical indications for GSL in ambulatory children with CP.

Methods

A 17-member panel, of Fellowship-trained paediatric orthopaedic surgeons, each with at least 9 years of clinical post-training experience in the surgical management of children with CP, was established. Consensus for the surgical indications

SUBMITTER: Rutz E 

PROVIDER: S-EPMC7666804 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature