Guided Growth of the Proximal Femur for the Management of Hip Dysplasia in Children With Cerebral Palsy

Journal of Pediatric Orthopedics
Nicola PortinaroArtemisia Panou

Abstract

Progressive hip displacement is one of the most common and debilitating deformities seen in children with cerebral palsy (CP). The aim of this study was to evaluate the results of temporary medial hemiepiphysiodesis of the proximal femur (TMH-PF) using a transphyseal screw to control hip migration during growth in children with CP. This was a retrospective study of children with CP and hip dysplasia, age 4 to 11 years and GMFCS levels III-V. There were 28 patients with 56 hips that underwent TMH-PF surgery between 2007 and 2010. Clinical and radiologic evaluation was performed preoperatively, at 6, 12, and 60 months following the index surgery. Acetabular index (AI), neck-shaft angle (NSA) and migration percentage (MP) were measured. All complications were recorded. All radiographic measurements were significantly improved at the final follow-up. Positive correlations were found between NSA, MP, and AI. Multiple regression analysis revealed that MP, time from surgery, and age were influenced by the decrease of the NSA. The femoral physis grew off the screw in 9 hips within 36 months. The screw head broke during attempted screw exchange in 1 hip. The remain cases (4 hips) were treated by placing a second screw parallel to the ex...Continue Reading

References

Apr 5, 2005·The Journal of Bone and Joint Surgery. American Volume·Ana PresedoFreeman Miller
Jun 6, 2006·Journal of Pediatric Orthopedics. Part B·Chia-Hsieh ChangZhon-Liau Lee
Oct 25, 2007·The Journal of Bone and Joint Surgery. British Volume·M J BarakatF Monsell
Oct 30, 2007·BMC Musculoskeletal Disorders·Gunnar HägglundPhilippe Wagner
Apr 3, 2009·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·N PortinaroF Pelillo
Mar 23, 2010·Disability and Rehabilitation·Emine Handan TüzünLevent Eker
Sep 25, 2010·Journal of Pediatric Orthopedics·James J McCarthyMark Markel
Sep 25, 2010·Journal of Pediatric Orthopedics·Kyoung Min LeeMoon Seok Park
Aug 14, 2012·Developmental Medicine and Child Neurology·Terje Terjesen
Nov 7, 2012·Clinical Orthopaedics and Related Research·Wudbhav N SankarBenjamin J Shore
Aug 15, 2013·Clinical Orthopaedics and Related Research·Eduardo N NovaisMichael B Millis
Nov 1, 2013·Journal of Pediatric Orthopedics·Matthew D DriscollAllison Scott
Mar 7, 2014·Journal of Children's Orthopaedics·Per LarnertPhilippe Wagner
Sep 19, 2014·The Journal of Bone and Joint Surgery. American Volume·Sulis BayusentonoMoon Seok Park
Jan 31, 2015·Journal of Pediatric Orthopedics·Jason P Kelly, Michelle A James
Apr 19, 2015·Journal of Pediatric Orthopedics·Wei-Chun LeeChia-Hsieh Chang
Sep 13, 2015·Journal of Children's Orthopaedics·Ian P Torode, Jeffrey L Young

❮ Previous
Next ❯

Citations

Aug 31, 2020·The Bone & Joint Journal·Po-Jen HsuTing-Ming Wang
Sep 25, 2018·Mediators of Inflammation·Marco BigoniAntonio Torsello
Jun 9, 2019·Aging Clinical and Experimental Research·Marco BigoniGiovanni Zatti
Aug 8, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Huan SheuChia H Chang

❮ Previous
Next ❯

Software Mentioned

R Core Team

Related Concepts

Related Feeds

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.

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.