{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:36:39Z","timestamp":1777498599646,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Objectives were to evaluate if gait was improved after multilevel surgery on the involved leg and simultaneously performed guided growth procedure on the uninvolved leg and whether simultaneously performed guided growth is efficient in limb length discrepancy management in hemiplegic children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Gait pattern of 78 hemiplegic children (mean age 10.4\u2009years) was evaluated using instrumented gait analysis before surgery and at 2\u2009years. This study involved children with type 2a (Rodda and Graham classification) \u2013 12, type 3 \u2013 20, type 4 \u2013 23, type 4s (undergone triceps lengthening at early age) \u2013 23.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean limb length discrepancy was 2.3\u2009cm before surgery and 0.4\u2009cm at final control. In all patients aged over 144\u2009months, the residual length discrepancy was over 10\u2009mm. The improvement in gait kinematics was observed on both the uninvolved and hemiplegic limbs. Finally, control on uninvolved leg kinematics presented values similar to reference values. On the involved leg, there were significant improvements in sagittal and transverse kinematics. Only patients of the 4s (patients undergone previous triceps lengthening surgery at an early age) group had no improvements in ankle flexion moment and power generation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Multilevel surgery including simultaneous guided growth ensures improvements on both the uninvolved and hemiplegic limb gait kinematics. We suggest guided growth surgery before the age of 12\u2009years for more exact equalization. Isolated triceps performed at an early age represent negative conditions for plantar flexion strength development in long term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18632521251388776","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T07:17:31Z","timestamp":1761722251000},"page":"435-445","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["High effectiveness of multilevel orthopaedic surgery and guided growth in spastic hemiplegia children"],"prefix":"10.1177","volume":"19","author":[{"given":"Ulvi","family":"Mamedov","sequence":"first","affiliation":[{"name":"Ilizarov National Medical Research Center for Traumatology and Orthopaedics, Kurgan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Dolganova","sequence":"additional","affiliation":[{"name":"Ilizarov National Medical Research Center for Traumatology and Orthopaedics, Kurgan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orkhan","family":"Gatamov","sequence":"additional","affiliation":[{"name":"Ilizarov National Medical Research Center for Traumatology and Orthopaedics, Kurgan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Foster","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhmed","family":"Tomov","sequence":"additional","affiliation":[{"name":"Priorov National Medical Research Center for Traumatology and Orthopedics, Moscow, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8996-867X","authenticated-orcid":false,"given":"Dmitry","family":"Popkov","sequence":"additional","affiliation":[{"name":"Ilizarov National Medical Research Center for Traumatology and Orthopaedics, Kurgan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2017.00021"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci12070859"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-1468"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.21037\/tp.2020.01.01"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2004.tb00506.x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13903"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2023.01.007"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198769030-00016"},{"issue":"1","key":"e_1_3_2_10_2","first-page":"79","article-title":"Prevalence of specific gait abnormalities in children with cerebral palsy: influence of cerebral palsy subtype, age, and previous surgery","volume":"25","author":"Wren TA","year":"2005","unstructured":"Wren TA, Rethlefsen S, Kay RM. 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