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

1 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 (November 2006) DOI: /j.apmr Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

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

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

4 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  , DOI: ( /j.apmr ) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

5 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  , DOI: ( /j.apmr ) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

6 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  , DOI: ( /j.apmr ) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

7 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  , DOI: ( /j.apmr ) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

8 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  , DOI: ( /j.apmr ) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

9 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  , DOI: ( /j.apmr ) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

10 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  , DOI: ( /j.apmr ) Copyright © 2006 The American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions


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