Lower limb alignment in cerebral palsy

Background: Spasticity leading to tightness of muscle is disabling. Muscular activity is used for balance of motion and joint alignment rather than weight bearing. Change of joint position interferes with passage of ground reaction force leading to muscle fatigue. During ambulation center of mass changes beyond its range due to so many causes including abnormal hip, knee, ankle and foot motion leading to high energy expenditure. Methods: Three hundred and sixty five lower limbs in 220 patients were operated by various methods described for hip, knee and ankle joint. Results: Results were excellent to fair in two hundred cases and poor in twenty cases. Conclusion: When cases taken up for surgery are selected with proper and repeated assessment, appropriate surgical procedures are performed in time then results of surgery are best in comparison with any other modalities of treatment and also achieved in a short time