MULTILEVEL SOFT TISSUE WITH BONY CORRECTIVE SURGERY IN LOWER LIMB DEFORMITIES AS ONE SITTING PROCEDURE IN SPASTIC CEREBRAL PALSY: AN EXPERIENCE FROM FREE DISABLED SURGICAL CAMPS

The study was intended to assess the results of multilevel soft tissue with bony corrective surgery as one sitting procedure on static deformities and contractures in lower limbs with patients of spastic cerebral palsy at free disabled surgical camps at Chhattisgarh state. In our study 30 patients were included with sixty percent male and forty percent female, within 4-16 years age group. Almost all patients had diplegia and only few patients had quadriplegia with grade 3 power in both upper limbs. Improvement in functional ability and locomotion of all operated patients were assessed by gross motor functional classification scale and with physical examination. Almost all patients who were operated in our study showed significant improvement in functional abilities and locomotion after surgery. All patients were maintaining functional abilities at follow up duration of 2 years (24 months), with 70%. excellent cases gait of patient were normal or mild spastic but they were walking without support, with 20% good cases gait of patients were spastic but patients comfortably walk with short knee braces and with 10% fair cases gait of patients were scissors but patients walked comfortably with long knee braces. Our study shows that, promising results can be obtained in spastic cerebral palsy patients with static deformities and contractures of joints in lower limbs with multilevel soft tissue and bony corrective surgery. We believe that it's a team effort of the surgeon, paramedical and rehabilitation staff in postoperative period for the achievement of better results.