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Diz fleksiyon kontraktüründe tedavi yaklaşımları

Year 2009, Volume: 43 Issue: 2, 113 - 120, 13.05.2009

Yener Temelli N. Akalan

Abstract

Beyin felcinde en çok etkilenen eklem diz eklemidir. Diz fleksiyon kontraktürü, çömelme pozisyonunda yürümeye, basma fazında stabilite kaybına, ayakta durma ve oturmada ve günlük yaşam aktivitelerinde zorluklara yol açar. Ayrıca, genç erişkin dönemde, patella alta, patellofemoral eklem dejenerasyonu, patella ve tüberküler kırıklarına da neden olabilir. Bu çocuklar ileri yaşlarda, yüksek enerji gerektirdiği için yürümeden bile vazgeçebilirler. Bu yazıda, beyin felçli çocuklarda diz fleksiyon kontraktürlerinin nedenleri, klinik ve radyolojik değerlendirmeler ve tedavi prensipleri gözden geçirildi. Ayrıca, yapılan çalışmalar ve yürüme analizi verileri ışığında diz fleksiyon kontraktürünün biyomekaniksel nedenleri ayrıntılı olarak tartışıldı.

Keywords

Beyin felci; çocuk; kontraktür; yürüyüş; kalça eklemi; diz eklemi; kas iskelet; tendon.

Treatment approaches to flexion contractures of the knee

Year 2009, Volume: 43 Issue: 2, 113 - 120, 13.05.2009

Yener Temelli N. Akalan

Abstract

The knee is the most affected joint in children with cerebral palsy. Flexion contracture of the knee is the cause of crouch gait pattern, instability in stance phase of gait, and difficulties during standing and sitting, and for daily living activities. It may also cause patella alta, degeneration of the patellofemoral joint, and stress fractures of the patella and tibial tubercle in young adults. Children with cerebral palsy may even give up walking due to its high energy demand in the adult period. The purpose of this article is to review the causes of the knee flexion contractures, clinical and radiological evaluations, and treatment principles in children with cerebral palsy. The biomechanical reasons of knee flexion deformity are discussed in detail in the light of previous studies and gait analysis data.

Keywords

Cerebral palsy child contracture gait hip joint knee joint muscle skeletal tendons

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Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Yener Temelli This is me

N. Akalan This is me

Publication Date May 13, 2009
Published in Issue Year 2009 Volume: 43 Issue: 2

Cite

APA Temelli, Y., & Akalan, N. (2009). Treatment approaches to flexion contractures of the knee. Acta Orthopaedica Et Traumatologica Turcica, 43(2), 113-120.
AMA Temelli Y, Akalan N. Treatment approaches to flexion contractures of the knee. Acta Orthopaedica et Traumatologica Turcica. May 2009;43(2):113-120.
Chicago Temelli, Yener, and N. Akalan. “Treatment Approaches to Flexion Contractures of the Knee”. Acta Orthopaedica Et Traumatologica Turcica 43, no. 2 (May 2009): 113-20.
EndNote Temelli Y, Akalan N (May 1, 2009) Treatment approaches to flexion contractures of the knee. Acta Orthopaedica et Traumatologica Turcica 43 2 113–120.
IEEE Y. Temelli and N. Akalan, “Treatment approaches to flexion contractures of the knee”, Acta Orthopaedica et Traumatologica Turcica, vol. 43, no. 2, pp. 113–120, 2009.
ISNAD Temelli, Yener - Akalan, N. “Treatment Approaches to Flexion Contractures of the Knee”. Acta Orthopaedica et Traumatologica Turcica 43/2 (May 2009), 113-120.
JAMA Temelli Y, Akalan N. Treatment approaches to flexion contractures of the knee. Acta Orthopaedica et Traumatologica Turcica. 2009;43:113–120.
MLA Temelli, Yener and N. Akalan. “Treatment Approaches to Flexion Contractures of the Knee”. Acta Orthopaedica Et Traumatologica Turcica, vol. 43, no. 2, 2009, pp. 113-20.
Vancouver Temelli Y, Akalan N. Treatment approaches to flexion contractures of the knee. Acta Orthopaedica et Traumatologica Turcica. 2009;43(2):113-20.