Combined femoral and pelvic osteotomies versus femoral osteotomy alone in the treatment of hip dysplasia in children with cerebral palsy

Journal of Pediatric Orthopedics
Muaz Al-GhadirBaxter Willis

Abstract

Although evidence is increasing that the most effective treatment for the severely subluxated or dislocated hips is a one-stage comprehensive approach there are few studies that compare the results with the traditional approach (varus derotational osteotomy, VDRO). The purpose of this study is to evaluate the clinical and radiologic outcome after one-stage reconstruction versus VDRO alone. We retrospectively analyzed 52 hips in 39 consecutive patients with spastic cerebral palsy treated from January 1997 to January 2007. Group A (36 hips) was treated with a VDRO and San Diego osteotomy and group B (16 hips) with VDRO alone. Mean age was 8.1+/-3.6 years. Mean follow-up was 4.4 years. Evaluation was performed according to clinical criteria (hip range of motion, pain, and sitting comfort) and radiographic parameters [center-edge angle, acetabular index, neckshaft angle, and Reimer's Index (MI)]. There were no delayed unions, avascular necrosis of the femoral head, or postoperative infections in either group. There was significant decrease in pain and improvement of the center-edge angle and acetabular index in the combined approach. Of the patients who had VDRO alone 25% needed revision procedures and none of the combined group ne...Continue Reading

References

Dec 1, 1979·Developmental Medicine and Child Neurology·M MoreauT Porter
Aug 1, 1984·Journal of Pediatric Orthopedics·J D ZuckermanJ F McLaughlin
Jan 1, 1993·Journal of Pediatric Orthopedics·M R BaggF Miller
Dec 1, 1996·The Journal of Bone and Joint Surgery. American Volume·J E GordonP L Schoenecker
Jul 1, 1997·Clinical Orthopaedics and Related Research·M S CornellJ D Spencer
Oct 6, 1997·The Journal of Bone and Joint Surgery. American Volume·K G SheaD H Van Boerum
Jun 4, 2002·The Journal of the American Academy of Orthopaedic Surgeons·John M Flynn, Freeman Miller
Jan 28, 2006·Journal of Pediatric Orthopedics·Wudbhav N SankarBrian J Sennett

❮ Previous
Next ❯

Citations

Jan 17, 2014·Journal of Children's Orthopaedics·Joseph J RuzbarskyDavid A Spiegel
Jan 17, 2014·Journal of Children's Orthopaedics·J E Robb, G Hägglund
Sep 28, 2010·The Orthopedic Clinics of North America·Francisco G Valencia
Apr 23, 2015·Orthopedics·Matthew E OetgenBenjamin D Martin
Oct 12, 2015·International Orthopaedics·Frank BraatzStefan Lakemeier
Jan 23, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·D Louahem M'sabahJ Cottalorda
Apr 28, 2006·The Orthopedic Clinics of North America·David A Spiegel, John M Flynn
Oct 23, 2013·World Journal of Orthopedics·Federico CanaveseGeraldo de Coulon
Aug 20, 2019·Clinical Orthopaedics and Related Research·Hsiang-Chieh HsiehKuan-Wen Wu
Mar 19, 2015·Journal of Pediatric Orthopedics·Frank M ChangEduardo N Novais
Jun 10, 2015·Journal of Pediatric Orthopedics·Oussama AbousamraFreeman Miller
Oct 31, 2017·Journal of Children's Orthopaedics·L PhillipsK Mulpuri
Apr 1, 2020·JBJS Reviews·Pooya HosseinzadehFreeman Miller
Nov 20, 2016·Developmental Medicine and Child Neurology·Rhandi ChristensenDarcy Fehlings

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.