Safety of the LCP Pediatric Hip Plate in Proximal Femoral Osteotomy in Children with Cerebral Palsy
| Autor: | Marah B Makahleh, Yazan Hammad, Fadi Hadidi, Majd A Shaheen, Lutfi A Hussein, Mahmoud M. Al-Mustafa, Omar Q. Samarah, Bayan A Shaheen, Rana A Tehabsim |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry 030503 health policy & services medicine.medical_treatment Retrospective cohort study Avascular necrosis General Medicine Neurological disorder medicine.disease Osteotomy Cerebral palsy Surgery 03 medical and health sciences 0302 clinical medicine Spastic cerebral palsy Medicine Femur 030212 general & internal medicine 0305 other medical science business General Nursing Fixation (histology) |
| Zdroj: | Journal of Multidisciplinary Healthcare. 13:779-784 |
| ISSN: | 1178-2390 |
| DOI: | 10.2147/jmdh.s268256 |
| Popis: | Purpose Proximal femoral osteotomy in cerebral palsy patients is a demanding procedure. The fixation of the osteotomy can fail due to the weak osteoporotic bone. The LCP pediatric hip plate with its good grip makes these procedures safe. The aims of the present study are to evaluate the radiological outcome of proximal femoral osteotomy that was fixed with the pediatric LCP in cerebral palsy patients and to raise safety issues regarding its low rate of complications. Patients and Methods Sixteen patients with cerebral palsy who were operated in our department were included in this retrospective study. Data collected from medical charts and X-ray measurements retrospectively reviewed. Results In total, 16 patients (21 hips), ie, 9 males and 7 females, were included in this analysis. The mean age at the time of the index surgery was 11.9 years (5.9-18.0). The mean follow-up period was 4.78 years (1.5-8.0). Five patients had bilateral hip involvement and 11 had unilateral involvement. All patients had spastic cerebral palsy. The mean values of varus correction and de-rotation were 25° (0°-45°) and 35° (20°-50°), respectively. Neck shaft angle and the Reimer's migration index were significantly improved postoperatively (p |
| Databáze: | OpenAIRE |
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