PMID: 9449104Feb 4, 1998Paper

Femoral varus derotation osteotomy with or without acetabuloplasty for unstable hips in cerebral palsy

Journal of Pediatric Orthopedics
H R Song, N C Carroll

Abstract

We reviewed 39 children with cerebral palsy who had surgery for hip subluxation or dislocation. Of 55 treated hips, 31 had a varus derotation osteotomy alone, and 24 had a combination of varus derotation osteotomy and an acetabular procedure. There was no significant difference in the ages of the two groups. There was no difference in the preoperative acetabular indices of the two groups, but the average percentage of preoperative uncoverage of the femoral head was 56% in the group with varus derotation osteotomy and 63% in the group with combined varus derotation osteotomy with an acetabular procedure. The incidence of resubluxation or redislocation (24%) after varus derotation osteotomy alone was higher than that after varus derotation osteotomy with an acetabular procedure (13%). The incidence of postoperative hip instability was higher in the patients who had preoperative uncoverage of the femoral head ranging from 70 to 100%. This was in comparison with the patients who had preoperative uncoverage of the femoral head ranging from 30 to 70%. These results suggest that a combination of varus derotation osteotomy and an acetabular procedure decreases the incidence of resubluxation or redislocation, and that unstable hips with...Continue Reading

References

May 1, 1987·Journal of Pediatric Orthopedics·D R CoopermanE A Millar
Aug 1, 1984·Journal of Pediatric Orthopedics·J D ZuckermanJ F McLaughlin
Nov 1, 1994·Journal of Pediatric Orthopedics·D F PopeP A DeLuca

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Citations

Jan 17, 2014·Journal of Children's Orthopaedics·Joseph J RuzbarskyDavid A Spiegel
Sep 28, 2010·The Orthopedic Clinics of North America·Francisco G Valencia
Aug 1, 2009·Physical Medicine and Rehabilitation Clinics of North America·Diane L DamianoHenry Chambers
Jan 16, 2008·Physical Medicine and Rehabilitation Clinics of North America·Sherilyn W Driscoll, Joline Skinner
Apr 28, 2006·The Orthopedic Clinics of North America·David A Spiegel, John M Flynn
Jul 1, 2015·Journal of Children's Orthopaedics·Nirav K PatelDeborah M Eastwood
Jan 23, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·D Louahem M'sabahJ Cottalorda
Oct 23, 2013·World Journal of Orthopedics·Federico CanaveseGeraldo de Coulon
Aug 22, 2017·The Journal of International Medical Research·Nabil AlassafReggie Cherine Hamdy

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