Table 3. Pre-Operative Data and Predictions for a Hypothetical Subject with Crouch Gait.
Subject has excess tibial torsion and short and slow hamstrings at his first gait visit
| First-Visit Variable | Coefficient | Subject Value |
Δ Expected Improvement |
|---|---|---|---|
| Strength Score [24] | 1.28 | 0.26 | 0.333 |
| Ipsilateral Mean Stance Knee Flexion (°) | 0.898 | 38.0 | 34.1 |
| Contralateral Mean Stance Knee Flexion (°) | −0.235 | 34.6 | −8.13 |
| Gait Deviation Index [29] | −0.136 | 64.9 | −8.83 |
| Mean Pelvic Tilt (°) | −0.213 | 15.7 | −3.34 |
| Knee Flex Vel at Toe-Off (°/% Gait Cycle) | 2.54 | 1.05 | 2.67 |
| Mean Stance Ankle Dorsiflexion (°) | 0.137 | 10.7 | 1.47 |
| Prior Tendo-Achilles Lengthening (1/0) | −3.04 | YES | −3.04 |
| Planned Patellar Advance/FEO (1/0)* | 9.36 | NO | 0 |
| Planned FDO (1/0)* | 3.87 | YES | 3.87 |
| Triplegic Subtype (1/0) | 5.36 | NO | 0 |
| Quadriplegic Subtype (1/0) | 6.11 | NO | 6.11 |
| Multiple Qualifying Visit Pairs (1/0) † | −5.45 | NO | 0 |
| Constant | −18.7 | −18.7 | |
| Expected Improvement without Hamstrings Lengthening or TDO | ~6.5° | ||
| Expected Improvement with Hamstrings Lengthening and/or TDO | ~13° | ||
The clinical team has decided to perform a femoral derotation osteotomy for this hypothetical subject, but not a patellar advance.
This is the first time the patient has visited the gait lab exhibiting a moderate crouch gait pattern