Outcomes of Salvage Hip Surgery in Children with Cerebral Palsy

Autor: Rachel Y. Goldstein, Paul D. Choi, Angela Hsu, Priscella Chan, Robert M. Kay, Selina Silva, Deirdre D. Ryan, Jenna Godfrey
Rok vydání: 2018
Předmět:
Male
medicine.medical_treatment
Salvage therapy
Osteotomy
Weight-Bearing
0302 clinical medicine
Hip Dislocation
Orthopedics and Sports Medicine
Femur
Range of Motion
Articular
Child
030222 orthopedics
biology
Treatment Outcome
medicine.anatomical_structure
Female
medicine.symptom
Reoperation
medicine.medical_specialty
Adolescent
Pain
Cerebral palsy
Resection
03 medical and health sciences
Young Adult
Femoral head
medicine
Humans
In patient
Bone Resorption
Perioperative Period
Retrospective Studies
Salvage Therapy
Hip surgery
Painful hip
Ossification
business.industry
Cerebral Palsy
Ossification
Heterotopic
Retrospective cohort study
Perioperative
Length of Stay
medicine.disease
biology.organism_classification
Surgery
Valgus
Pediatrics
Perinatology and Child Health
Heterotopic ossification
business
030217 neurology & neurosurgery
Follow-Up Studies
Zdroj: Pediatrics. 141:634-634
ISSN: 1098-4275
0031-4005
Popis: This study compared the outcomes of four salvage procedures in treating painful dislocated hips in patients with cerebral palsy: Schanz osteotomy, Girdlestone, Castle, and McHale procedures. A retrospective review of cerebral palsy patients treated between 1990 and 2014 with minimum 6-month follow-up was carried out. Of 69 hips (62 patients), there were 36 McHales, 24 Castles, four Girdlestones, and five Schanz procedures at a mean age of 13.9 years. All four procedures provided pain relief. Proximal femoral migration was similar following the procedures, but heterotopic ossification was more common after the Castle procedure. Bone resorption and revision surgery were more frequent after the McHale procedure.
Databáze: OpenAIRE
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