Abstract
The optimal surgical intervention for hip dysplasia in cerebral palsy (CP) is controversial. The purpose of this study was to determine (1) whether an isolated varus derotation osteotomy (VDRO) for the treatment of CP hip dysplasia allows for acetabular remodeling as measured by acetabular depth ratio (ADR), (2) the predictive factors for acetabular remodeling after an isolated VDRO for the treatment of CP hip dysplasia, and (3) to establish the normal ADR in typical children for comparison. Eighty-seven CP patients (174 hips) treated with an isolated VDRO between 2003 and 2009 were retrospectively reviewed. The average age at surgery was 4.6 years (range, 2.4 to 10.6 y) and the average follow-up period was 5.1 years (range, 1.1 to 9.9 y). Acetabular remodeling was assessed on radiographs by the ADR. Changes in preoperative and postoperative ADR were analyzed using linear mixed-effects models. Patients were divided into 2 different groups for the postoperative ADR analysis: Gross Motor Function Classification System (GMFCS) levels I, II, and III compared with GMFCS levels IV and V. The progression of ADR versus age was determined in a set of 917 normal children (1834 hips) for comparison. There was a statistically significant i...Continue Reading
References
May 1, 1995·The Journal of Bone and Joint Surgery. American Volume·L RootD H Angel
May 20, 1998·Journal of Pediatric Orthopedics·F MillerK W Dabney
Jun 4, 2002·The Journal of the American Academy of Orthopaedic Surgeons·John M Flynn, Freeman Miller
Jan 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Brendan SooH Kerr Graham
Aug 26, 2006·Journal of Pediatric Orthopedics·Gregory A SchmaleKristy Seidel
Oct 2, 2008·The Journal of Bone and Joint Surgery. British Volume·J RobinR Baker
Dec 6, 2008·Developmental Medicine and Child Neurology·Jonathan RobinPam Thomason
Oct 6, 2009·Journal of Pediatric Orthopedics. Part B·Rami KhalifeKhalil Kharrat
Jan 28, 2010·Journal of Pediatric Orthopedics·Muaz Al-GhadirBaxter Willis
Sep 28, 2010·The Orthopedic Clinics of North America·Francisco G Valencia
Sep 29, 2011·Skeletal Radiology·Ingvild Øvstebø EngesæterKaren Rosendahl
Feb 18, 2012·The Journal of Bone and Joint Surgery. American Volume·Benjamin J ShoreH Kerr Graham
Aug 14, 2012·Developmental Medicine and Child Neurology·Terje Terjesen
Sep 20, 2012·Journal of Pediatric Orthopedics. Part B·Federico CanaveseGeraldo de Coulon
Feb 26, 2013·Developmental Medicine and Child Neurology·Kate WilloughbyH Kerr Graham
Apr 16, 2014·Disability and Rehabilitation·Carola B BouwhuisGuus J Lankhorst
Citations
Nov 1, 2018·Revista Brasileira De Ortopedia·Frederico Coutinho de Moura VallimMarcio Garcia Cunha
Mar 23, 2017·Journal of Pediatric Orthopedics·Luis MoraledaJavier Albiñana
Nov 28, 2017·Acta orthopaedica et traumatologica turcica·Mutlu CobanogluImran Omurlu
Aug 9, 2019·Journal of Pediatric Orthopedics·Luis MoraledaJavier Albiñana
Jun 8, 2018·Journal of Pediatric Orthopedics·Jon R Davids
Jan 23, 2020·Journal of Clinical Medicine·Hoon ParkHyun Woo Kim
Sep 28, 2017·Journal of Pediatric Orthopedics. Part B·Tamer A El-SobkyBeshoy Kaldas
Nov 1, 2016·Current Opinion in Pediatrics·Uri Givon