Case of the week - 20/6/96

48yo diplegic man (no previous surgery), pre and 3/12 post-op simultaneous bilateral Tendo-Achilles lengthening + rectus femoris transfer to gracilis + hamstrings release. Weight 70 kg.

Pre-op: velocity 0.8 m/s, cadence 103 st/min, stride length 0.91 m.
Right-side pre-op movie
Right-side pre-op Gait Analysis Results
Left-side pre-op movie
Left-side pre-op Gait Analysis Results
Right-side Force plate record
Left-side Force plate record

Post-op: velocity 0.65 m/s, cadence 80 st/min, stride length 0.94 m.
Right-side post-op movie
Right-side post-op Gait Analysis Results
Left-side post-op movie
Left-side post-op Gait Analysis Results
Right-side Force plate record
Left-side Force plate record
Frontal-plane post-op movie


...points for discussion:

  • What effect has the surgery had on this man's gait?
  • What further treatment would you advise?

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    Maintained by Dr Chris Kirtley
    Last modified on Saturday, 06-Jul-96 11:49:00 MSZ.

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