1 Ocak 2021 Dergi makalesi Açık Erişim

Karabulut, Derya; Arslan, Yunus Ziya; Gotze, Marco; Wolf, Sebastian, I

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  <identifier identifierType="URL">https://aperta.ulakbim.gov.tr/record/235290</identifier>
  <creators>
    <creator>
      <creatorName>Karabulut, Derya</creatorName>
      <givenName>Derya</givenName>
      <familyName>Karabulut</familyName>
      <affiliation>Istanbul Univ Cerrahpasa, Fac Engn, Dept Mech Engn, TR-34320 Istanbul, Turkey</affiliation>
    </creator>
    <creator>
      <creatorName>Arslan, Yunus Ziya</creatorName>
      <givenName>Yunus Ziya</givenName>
      <familyName>Arslan</familyName>
      <affiliation>Turkish German Univ, Inst Grad Studies Sci &amp; Engn, Dept Robot &amp; Intelligent Syst, TR-34820 Istanbul, Turkey</affiliation>
    </creator>
    <creator>
      <creatorName>Gotze, Marco</creatorName>
      <givenName>Marco</givenName>
      <familyName>Gotze</familyName>
      <affiliation>Univ Klinikum Heidelberg, Ctr Orthoped &amp; Trauma Surg, D-69118 Heidelberg, Germany</affiliation>
    </creator>
    <creator>
      <creatorName>Wolf, Sebastian, I</creatorName>
      <affiliation>Univ Klinikum Heidelberg, Ctr Orthoped &amp; Trauma Surg, D-69118 Heidelberg, Germany</affiliation>
    </creator>
  </creators>
  <titles>
    <title>The Impact Of Patellar Tendon Advancement On Knee Joint Moment And Muscle Forces In Patients With Cerebral Palsy</title>
  </titles>
  <publisher>Aperta</publisher>
  <publicationYear>2021</publicationYear>
  <dates>
    <date dateType="Issued">2021-01-01</date>
  </dates>
  <resourceType resourceTypeGeneral="Text">Journal article</resourceType>
  <alternateIdentifiers>
    <alternateIdentifier alternateIdentifierType="url">https://aperta.ulakbim.gov.tr/record/235290</alternateIdentifier>
  </alternateIdentifiers>
  <relatedIdentifiers>
    <relatedIdentifier relatedIdentifierType="DOI" relationType="IsIdenticalTo">10.3390/life11090944</relatedIdentifier>
  </relatedIdentifiers>
  <rightsList>
    <rights rightsURI="http://www.opendefinition.org/licenses/cc-by">Creative Commons Attribution</rights>
    <rights rightsURI="info:eu-repo/semantics/openAccess">Open Access</rights>
  </rightsList>
  <descriptions>
    <description descriptionType="Abstract">Background: Patellar tendon advancement (PTA) is performed for the treatment of crouch gait in patients with cerebral palsy (CP). In this study, we aimed to determine the influence of PTA in the context of single-event multilevel surgery (SEMLS) on knee joint moment and muscle forces through musculoskeletal modeling; Methods: Gait data of children with CP and crouch gait were retrospectively analyzed. Patients were included if they had a SEMLS with a PTA (PTA group, n = 18) and a SEMLS without a PTA (NoPTA group, n = 18). A musculoskeletal model was used to calculate the pre- and postoperative knee joint moments and muscle forces; Results: Knee extensor moment increased in the PTA group postoperatively (p = 0.016), but there was no statistically significant change in the NoPTA group (p &amp;gt; 0.05). The quadriceps muscle forces increased for the PTA group (p = 0.034), while there was no difference in the NoPTA group (p &amp;gt; 0.05). The hamstring muscle forces increased in the PTA group (p = 0.039), while there was no difference in the NoPTA group (p &amp;gt; 0.05); Conclusions: PTA was found to be an effective surgery for the treatment of crouch gait. It contributes to improving knee extensor moment, decreasing knee flexor moment, and enhancing the quadriceps and hamstring muscle forces postoperatively.</description>
  </descriptions>
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