Abstract
Distal elongation of the Hamstrings was performed for contracture due to neurogenic disorders in forty-three patients. A follow-up study on twenty-eight of the patients with cerebral palsy is reported here. The success of the operation was judged by functional evaluation including joint measurement and gait analysis with T-V recorder. The disadvantages of this operation especially about genu recuirvatum and the need for prolonged aftercare are discussed.
In the thirty-two knees, the spastic knee-flexion deformity was corrected, gait was improved, and a longer in eleven knees. It seemed that pre-operative ability for knee extension and ankle dorsi-flexion and age at operation were concerned to genu recuirvatum. In the five knees, recuirvatum was improved by fixed-ankle below-the-knee orthoses.
