{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T07:46:54Z","timestamp":1792136814143,"version":"4.4.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nThe knee is the most affected joint in children with cerebral palsy. Flexion contracture of the knee is the cause of crouch gait pattern, instability in stance phase of gait, and difficulties during standing and sitting, and for daily living activities. It may also cause patella alta, degeneration of the patellofemoral joint, and stress fractures of the patella and tibial tubercle in young adults. Children with cerebral palsy may even give up walking due to its high energy demand in the adult period. The purpose of this article is to review the causes of the knee flexion contractures, clinical and radiological evaluations, and treatment principles in children with cerebral palsy. The biomechanical reasons of knee flexion deformity are discussed in detail in the light of previous studies and gait analysis data.\n\n\u00d6zet\n\nBeyin felcinde en \u00e7ok etkilenen eklem diz eklemidir. Diz fleksiyon kontrakt\u00fcr\u00fc, \u00e7\u00f6melme pozisyonunda y\u00fcr\u00fcmeye, basma faz\u0131nda stabilite kayb\u0131na, ayakta durma ve oturmada ve g\u00fcnl\u00fck ya\u015fam aktivitelerinde zorluklara yol a\u00e7ar. Ayr\u0131ca, gen\u00e7 eri\u015fkin d\u00f6nemde, patella alta, patellofemoral eklem dejenerasyonu, patella ve t\u00fcberk\u00fcler k\u0131r\u0131klar\u0131na da neden olabilir. Bu \u00e7ocuklar ileri ya\u015flarda, y\u00fcksek enerji gerektirdi\u011fi i\u00e7in y\u00fcr\u00fcmeden bile vazge\u00e7ebilirler. Bu yaz\u0131da, beyin fel\u00e7li \u00e7ocuklarda diz fleksiyon kontrakt\u00fcrlerinin nedenleri, klinik ve radyolojik de\u011ferlendirmeler ve tedavi prensipleri g\u00f6zden ge\u00e7irildi. Ayr\u0131ca, yap\u0131lan \u00e7al\u0131\u015fmalar ve y\u00fcr\u00fcme analizi verileri \u0131\u015f\u0131\u011f\u0131nda diz fleksiyon kontrakt\u00fcr\u00fcn\u00fcn biyomekaniksel nedenleri ayr\u0131nt\u0131l\u0131 olarak tart\u0131\u015f\u0131ld\u0131.<\/jats:p>","DOI":"10.3944\/aott.2009.113","type":"journal-article","created":{"date-parts":[[2009,5,14]],"date-time":"2009-05-14T04:27:59Z","timestamp":1242275279000},"page":"113-120","source":"Crossref","is-referenced-by-count":22,"title":["Treatment approaches to flexion contractures of the knee"],"prefix":"10.5152","volume":"43","author":[{"given":"Yener","family":"Temelli","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Ekin Akalan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2252\/2209","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:00:30Z","timestamp":1763463630000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2252"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2009,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.113","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}