Rectus femoris surgery for the correction of stiff knee gait in cerebral palsy: A systematic review and meta-analysis.

Introduction: Rectus femoris (RF) transfer was long the gold-standard treatment for stiff knee gait (SKG), but efficacy now seems less than that of distal RF release. The aim of the present study was to compare efficacy between the two. The study hypothesis was that both significantly improve 4 knee kinematic parameters at 1 year.

A Multidisciplinary Approach to Optimizing Long-Term Functional Prognosis of A Girl With Quadriceps Fibrosis.

The consequences and optimal treatment of quadriceps fibrosis following intramuscular quinine injection during childhood remain unclear. We report here a case of a 17-year-old girl who experienced unilateral quadriceps fibrosis following intramuscular injection of quinine as a baby. This case report describes the evolution of the condition during the child's growth, the long-term impact of early fibrosis on range of motion, muscle volumes, strength, gait, and activities of daily living.

Pulvinar and pubic cartilage measurements to refine universal ultrasound screening for developmental dysplasia of the hip: Data from 1896 infant hips.

Purpose: Screening modalities for Developmental Dysplasia of the Hip (DDH) and indications for treatment of mild forms remain controversial. Ultrasound (US) measurement of the pubofemoral distance (PFD > 6 mm, composed of the pubic cartilage and the pulvinar) can avoid late diagnoses of DDH. A thick pubic cartilage may nevertheless lead to false positives.

Congenital dislocation of the knee in a three-year-old-child with Larsen syndrome: Treatment with a hexapod-type external fixator.

Congenital knee dislocation (CDK) is a rare condition, and its treatment is subject to debate. Here, we report on a new treatment for CDK (using a hexapod-type external fixator, HEF) in a three-year-old child with Larsen syndrome and grade III anterior dislocations of both knees. The left knee was treated with serial splints, whereas an HEF was used to treat an irreducible dislocation of the right knee.

One-dimensional modelling of the secondary clarifier-factors affecting simulation in the clarification zone and the assessment of the thickening flow dependence.

This paper presents a one-dimensional (1-D) model of the secondary settling tank (SST), and the drive for model development is discussed using steady-state simulation results generated with a 2-D computational fluid dynamics (CFD) model. Concentration profiles measured in a flat-bottom circular (fbSST) that is equipped with suction-lift sludge removal, served for CFD model validation. We investigate the factors that may deteriorate the 1-D simulation performance of clarifier models, which incorporate dispersion both in terms of the effluent sludge concentration and in terms of the sludge blanket height.