Fifty-one skeletally immature cerebral palsied (C.P.) children with 70 subluxated or dislocated hips were treated by conservative methods: femoral osteotomy (65 hips), pelvic osteotomy (52 hips) and arthrotomy when necessary (19 cases). 31 children were less than 10 years of age when operated on (mean 6 years, 6 months), 20 children were more than 10 years of age (mean 13 years, 13 months); mean follow-up was 4 years. Reduction and coverage were achieved and maintained in all patients, except for 6 redislocations: a pelvic obliquity was neglected in 3 cases; femoral shortening was not performed in 2 cases. Post-operative course was difficult in eldest patients with pain and stiffness but functional result was acceptable at follow-up in all cases except redislocations. Open reduction was related to a higher rate of postoperative rehabilitation problems. Modeling of previously deformed femoral heads and improvement of hip mobility were consistently seen at last follow-up, except for 3 redislocations. It is concluded that conservative methods are quite advisable in CP children and adolescents. Hip reduction should be preferred to femoral resection even in adolescent.
%0 Journal Article
%1 Onimus1992
%A Onimus, M.
%A Manzone, P.
%A Cahuzac, J. P.
%A Laurain, J. M.
%A Lebarbier, P.
%D 1992
%J Rev Chir Orthop Reparatrice Appar Mot
%K Adolescent; Cerebral Palsy; Child; Femur; Hip Dislocation; Humans; Osteotomy; Pelvic Bones; Postoperative Period; Quadriplegia
%N 2
%P 74--81
%T Surgical treatment of dislocations and subdislocations of the hip in patients with cerebral palsy by femoral and pelvic osteotomy
%V 78
%X Fifty-one skeletally immature cerebral palsied (C.P.) children with 70 subluxated or dislocated hips were treated by conservative methods: femoral osteotomy (65 hips), pelvic osteotomy (52 hips) and arthrotomy when necessary (19 cases). 31 children were less than 10 years of age when operated on (mean 6 years, 6 months), 20 children were more than 10 years of age (mean 13 years, 13 months); mean follow-up was 4 years. Reduction and coverage were achieved and maintained in all patients, except for 6 redislocations: a pelvic obliquity was neglected in 3 cases; femoral shortening was not performed in 2 cases. Post-operative course was difficult in eldest patients with pain and stiffness but functional result was acceptable at follow-up in all cases except redislocations. Open reduction was related to a higher rate of postoperative rehabilitation problems. Modeling of previously deformed femoral heads and improvement of hip mobility were consistently seen at last follow-up, except for 3 redislocations. It is concluded that conservative methods are quite advisable in CP children and adolescents. Hip reduction should be preferred to femoral resection even in adolescent.
@article{Onimus1992,
abstract = {Fifty-one skeletally immature cerebral palsied (C.P.) children with 70 subluxated or dislocated hips were treated by conservative methods: femoral osteotomy (65 hips), pelvic osteotomy (52 hips) and arthrotomy when necessary (19 cases). 31 children were less than 10 years of age when operated on (mean 6 years, 6 months), 20 children were more than 10 years of age (mean 13 years, 13 months); mean follow-up was 4 years. Reduction and coverage were achieved and maintained in all patients, except for 6 redislocations: a pelvic obliquity was neglected in 3 cases; femoral shortening was not performed in 2 cases. Post-operative course was difficult in eldest patients with pain and stiffness but functional result was acceptable at follow-up in all cases except redislocations. Open reduction was related to a higher rate of postoperative rehabilitation problems. Modeling of previously deformed femoral heads and improvement of hip mobility were consistently seen at last follow-up, except for 3 redislocations. It is concluded that conservative methods are quite advisable in CP children and adolescents. Hip reduction should be preferred to femoral resection even in adolescent.},
added-at = {2014-07-19T20:57:40.000+0200},
author = {Onimus, M. and Manzone, P. and Cahuzac, J. P. and Laurain, J. M. and Lebarbier, P.},
biburl = {https://www.bibsonomy.org/bibtex/24e1e2b0c2bbf80aa7393755d020a8c97/ar0berts},
groups = {public},
interhash = {e8eabf2243c1170af30a32da1db61cce},
intrahash = {4e1e2b0c2bbf80aa7393755d020a8c97},
journal = {Rev Chir Orthop Reparatrice Appar Mot},
keywords = {Adolescent; Cerebral Palsy; Child; Femur; Hip Dislocation; Humans; Osteotomy; Pelvic Bones; Postoperative Period; Quadriplegia},
number = 2,
pages = {74--81},
pii = {78593},
pmid = {1410725},
timestamp = {2014-07-19T20:57:40.000+0200},
title = {[Surgical treatment of dislocations and subdislocations of the hip in patients with cerebral palsy by femoral and pelvic osteotomy]},
username = {ar0berts},
volume = 78,
year = 1992
}