Adductor surgery to prevent hip displacement in children with cerebral palsy: the predictive role of the Gross Motor Function Classification System

The Journal of Bone and Joint Surgery. American Volume
Benjamin J ShoreH Kerr Graham

Abstract

The purpose of this study was to evaluate the relationship between walking ability, as determined with use of the Gross Motor Function Classification System (GMFCS), and the outcome of hip adductor surgery used to prevent hip displacement in children with cerebral palsy. We performed a retrospective review of the records of all children with cerebral palsy whose index surgery, performed between January 1994 and December 2004 at one tertiary-level pediatric hospital, was bilateral hip adductor releases. All children had a hip migration percentage of >30% in at least one hip prior to the adductor surgery, and the minimum duration of follow-up was twenty-four months. Kaplan-Meier survivorship curves were generated by determining the time from the index surgery to "failure," defined as either the need for subsequent surgical procedures or a migration percentage of ≥50% in either hip. Hazard ratios were calculated for sex, migration percentage at the time of the index surgery, age at the time of the index surgery, and GMFCS level. Three hundred and thirty children were included in the study; 73% (242) were nonambulatory (GMFCS level IV or V). The mean age at the time of the index surgery was 4.2 years, the mean migration percentage ...Continue Reading

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Citations

Mar 21, 2012·Current Reviews in Musculoskeletal Medicine·Benjamin ShoreHk Graham
Jan 17, 2014·Journal of Children's Orthopaedics·J E Robb, G Hägglund
Aug 14, 2012·Developmental Medicine and Child Neurology·Erich Rutz
May 3, 2014·The Bone & Joint Journal·H K Graham, U G Narayanan
Jun 18, 2016·Developmental Medicine and Child Neurology·Joanna WawrzutaH Kerr Graham
Jun 12, 2014·Journal of Pediatric Orthopedics·Avanthi MandalesonH Kerr Graham
Nov 3, 2015·Journal of Pediatric Orthopedics·Michael W AversanoNorman Y Otsuka
Sep 11, 2014·Journal of Pediatric Orthopedics·Patricia M De Moraes Barros Fucs, Helder H Yamada
Dec 20, 2017·Journal of Rural Medicine : JRM·Ryoko TakeuchiHiroshi Kamada
Dec 28, 2016·Journal of Pediatric Orthopedics·Francesco C BlumettiPaulo Selber
Jan 17, 2019·Journal of Pediatric Orthopedics·Maheshi P C WijesekeraRoger Walton
May 18, 2016·Nature Reviews. Disease Primers·H Kerr GrahamRichard L Lieber
Jun 13, 2012·Developmental Medicine and Child Neurology·Kate WilloughbyH Kerr Graham
Dec 28, 2018·Journal of Pediatric Orthopedics·Benjamin J ShoreUNKNOWN CHOP Investigative Team
Dec 5, 2013·Current Opinion in Pediatrics·Cemil Yildiz, Ismail Demirkale
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Feb 26, 2013·Developmental Medicine and Child Neurology·Kate WilloughbyH Kerr Graham
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Apr 1, 2020·JBJS Reviews·Pooya HosseinzadehFreeman Miller
Mar 7, 2019·Journal of Pediatric Orthopedics·Francesco C BlumettiPaulo Selber
Mar 20, 2015·The Journal of Bone and Joint Surgery. American Volume·Erich RutzReinald Brunner
Apr 26, 2017·Journal of Children's Orthopaedics·L ZhouH K Graham
Jun 23, 2019·Journal of Orthopaedic Surgery and Research·Kelly A Larkin-KaiserWalter Herzog

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