Gait Performance in an Original Biologic Reconstruction of Proximal Femur in a Skeletally Immature Child: A Case Report Maria Grazia Benedetti, MD, Sofia.

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Presentation transcript:

Gait Performance in an Original Biologic Reconstruction of Proximal Femur in a Skeletally Immature Child: A Case Report Maria Grazia Benedetti, MD, Sofia Straudi, MD, Lisa Berti, MD, Alberto Leardini, DPhil, Marco Manfrini, MD Archives of Physical Medicine and Rehabilitation Volume 87, Issue 11, Pages 1534-1541 (November 2006) DOI: 10.1016/j.apmr.2006.07.262 Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 (A) Tumor site and (B) hip radiograph after reconstruction of left proximal femur. Archives of Physical Medicine and Rehabilitation 2006 87, 1534-1541DOI: (10.1016/j.apmr.2006.07.262) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 Summary of the events. Abbreviations: GA, gait analysis; S, surgery; SFE, slipped fibular epiphysis. Archives of Physical Medicine and Rehabilitation 2006 87, 1534-1541DOI: (10.1016/j.apmr.2006.07.262) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Ground reaction forces (GRF) as percentage of body weight (consecutive strides) during gait at the first (33mo postsurgery) and last (87mo postsurgery) follow-ups. Black lines correspond to the operated side; gray lines to contralateral side. The white band is the mean and 1 standard deviation (SD) of the controls. Archives of Physical Medicine and Rehabilitation 2006 87, 1534-1541DOI: (10.1016/j.apmr.2006.07.262) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 Kinematics (consecutive strides) of the pelvis at the last follow-up. The gray band is the mean and 1 SD of the controls. Archives of Physical Medicine and Rehabilitation 2006 87, 1534-1541DOI: (10.1016/j.apmr.2006.07.262) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 5 Kinematics of the hip at the 33-month follow-up. The gray band is the mean and 1 SD of the controls. Archives of Physical Medicine and Rehabilitation 2006 87, 1534-1541DOI: (10.1016/j.apmr.2006.07.262) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 6 Kinematics of the hip, knee, and ankle at the control after slipped capital femoral (fibular) epiphysis. The gray band is the mean and 1 SD of the controls. Archives of Physical Medicine and Rehabilitation 2006 87, 1534-1541DOI: (10.1016/j.apmr.2006.07.262) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 7 Kinematics of the hip, knee, and ankle at the last follow-up (87mo). The gray band is the mean and 1 SD of the controls. Archives of Physical Medicine and Rehabilitation 2006 87, 1534-1541DOI: (10.1016/j.apmr.2006.07.262) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 8 Raw dynamic surface electromyogram of the muscles of lower limb. Abbreviations: Bic. Fem. L.H., biceps femoris long head; Gas., gastrocnemius; Gl. Max, gluteus maximus; Gl. Med., gluteus medius; HS 1, initial heel strike 1; HS 2, following heel strike; R.F, rectus femoris; Tib. Ant., tibialis anterior; TO, toe-off; Vastus Lat., vastus lateralis; Vastus Med., vastus medialis. Archives of Physical Medicine and Rehabilitation 2006 87, 1534-1541DOI: (10.1016/j.apmr.2006.07.262) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 9 Kinematics and kinetics (consecutive trials) of other motor tasks. Rising from a chair: (A) hip sagittal plane motion; (B) vertical force; squatting: (C) hip sagittal plane motion. Black line corresponds to the operated side; gray dashed lines to the contralateral side. Abbreviations: Dw, down; Ext, extension; Flex, flexion. Archives of Physical Medicine and Rehabilitation 2006 87, 1534-1541DOI: (10.1016/j.apmr.2006.07.262) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions