Assessment of the effect of rectus femoris transfer by propensity score matching in cerebral palsy

摘要

The rectus femoris transfer (RFT) as any musculotendinous transfer procedure has the specificity of having only a functional objective. In the context of single event multilevel surgery, it is associated to the surgical program with the aim to improve knee kinematics during swing phase. While many indicators have been introduced to describe knee stiffness and thus help to clarify RFT indication, most of the clinical studies are case series. Only one study with a randomized control group (RCT) [1] was conducted and although it highlights the positive effect of TRF, the relevance of this procedure remains controversial.