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Journal of Bone and Joint Surgery - British Volume, Vol 65-B, Issue 3, 242-246
Copyright © 1983 by British Editorial Society of Bone and Joint Surgery

Articles

A clinical review of the orthotic treatment of myelomeningocele patients

GK Rose, M Sankarankutty, and J Stallard

High myelomeningocele lesions do not preclude an acceptable level of functional walking provided that an integrated programme of surgical treatment and bracing is adopted. Clinical analysis of 100 patients with myelomeningocele shows that the development of the "swivel walker" and "hip guidance orthosis" has been associated with an improved level of function. Over 30 per cent of patients with thoracic lesions and 68 per cent of those with lumbar lesions achieved independent walking. For this reason the criteria used at present by paediatricians to govern the selection of infants for non-active treatment may require reconsideration.


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J. Stallard
Walking for the severely disabled: RESEARCH AND DEVELOPMENT, EXPERIENCE AND CLINICAL OUTCOMES
J Bone Joint Surg Br, May 1, 2005; 87-B(5): 604 - 607.
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General