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Titolo:
Surgical treatment of subluxation and dislocation of the hips in cerebral palsy patients
Autore:
Wu, CT; Huang, SC; Chang, CH;
Indirizzi:
En Chu Kong Hosp, Dept Orthoped Surg, Taipei, Taiwan En Chu Kong Hosp Taipei Taiwan Hosp, Dept Orthoped Surg, Taipei, Taiwan Natl Taiwan Univ Hosp, Dept Orthoped Surg, Taipei, Taiwan Natl Taiwan UnivHosp Taipei Taiwan Dept Orthoped Surg, Taipei, Taiwan Chang Gung Mem Hosp, Dept Orthoped Surg, Tao Yuan, Taiwan Chang Gung Mem Hosp Tao Yuan Taiwan ept Orthoped Surg, Tao Yuan, Taiwan
Titolo Testata:
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
fascicolo: 4, volume: 100, anno: 2001,
pagine: 250 - 256
SICI:
0929-6646(200104)100:4<250:STOSAD>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
FEMORAL VARUS; DYSPLASIA; OSTEOTOMY;
Keywords:
cerebral palsy; subluxation; dislocation; hip; surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Huang, SC Taipei Hosp, Dept Orthoped Surg, Dept Hlth, 127 Su Yuan Rd, HsinChang City, Taipei County, Taiwan Taipei Hosp 127 Su Yuan Rd Hsin Chang City Taipei County Taiwan
Citazione:
C.T. Wu et al., "Surgical treatment of subluxation and dislocation of the hips in cerebral palsy patients", J FORMOS ME, 100(4), 2001, pp. 250-256

Abstract

Background and Purpose: Progressive subluxation and dislocation of the hipare major complications in patients with cerebral palsy (CP),causing functional deterioration and difficulties in personal hygiene. Treatment of these problems is difficult and complicated. The purpose of this study was to describe the surgical results and longterm follow-up in a group of CP patients. Methods: Twenty-three CP patients with subluxated (15 hips) or dislocated hips (12 hips) underwent corrective surgery between 1985 and 1993. This included 11 quadriplegic, eight diplegic, and four hemiplegic patients. Beforesurgery, four patients were bed-ridden, eight were sitters, six were house-ambulators, and five were community-ambulators. The average age at surgerywas 8 years and 5 months. The surgical procedures consisted of femoral varus derotational osteotomy in 21 patients (25 hips), selected soft tissue release in 18 patients (22 hips), and pelvic osteotomy in 18 patients (20 hips). The center-edge angle, acetabular index, and neck-shaft angle were usedas parameters to evaluate preoperative and postoperative radiographic changes. Results: After all average follow-up of 4.8 years, 19 patients (22 hips) had gained hip stability, and also had improved functional status. The four bed-ridden patients all became sitters; six of the eight sitters became house-ambulators and one became a community-ambulator; all six house-ambulators became community-ambulators, and the five community-ambulators had functional improvement. Complications included nonunion at the femoral osteotomy site in one hip, redislocation in two hips, and resubluxation in one hip. Conclusions: We conclude that subluxated or dislocated hips in patients with CP can be effectively treated with aggressive correction, which may include soft tissue release, femoral derotational osteotomy, and pelvic osteotomy for improvement of hip range of motion and functional status.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 21:23:24