%0 Journal Article %1 Settecerri2000 %A Settecerri, J. J. %A Karol, L. A. %D 2000 %J J Pediatr Orthop %K Adolescent; Cerebral Palsy; Child; Child, Preschool; Female; Hip Dislocation; Humans; Male; Osteotomy; Postoperative Complications; Reoperation; Retrospective Studies; Treatment Outcome %N 6 %P 776--780 %T Effectiveness of femoral varus osteotomy in patients with cerebral palsy. %V 20 %X This is a retrospective review of 144 hips in 99 patients treated with femoral varus osteotomy between 1975 and 1995. Average follow-up was 5 years (range, 2-15 years). The majority of patients (67\%) were nonambulatory spastic quadriparetics. The average age at the time of surgery was 7.7 years (range, 3-15 years). Radiographic parameters analyzed were the neck-shaft and center-edge (CE) angles and Reimer's migration index (MI). Results were considered good if the CE angle was >20 degrees and the MI <30\%, fair if the CE angle was 0 degrees - 20 degrees and the MI 30-50\%, and poor if the patient had persistent pain, a CE angle of <0 degrees , or an MI >50\%. Twelve hips (8\%) remained painful at final follow-up, and 12 hips (8\%) dislocated despite surgery. Previous surgery, unilateral surgery, performing a pelvic osteotomy, and age at the time of surgery had no statistical influence on outcome. Good results were obtained in 43.1\%, fair in 41.5\%, and poor in 15.4\%. Only the quality of the reduction obtained at surgery, judged by the increase in CE angle and the reduction in MI, had a statistical influence on final result. Athetoid patients fared as well as those with spasticity. Femoral varus osteotomy was effective in providing a stable pain-free hip in 84\% of patients.

@article{Settecerri2000, abstract = {This is a retrospective review of 144 hips in 99 patients treated with femoral varus osteotomy between 1975 and 1995. Average follow-up was 5 years (range, 2-15 years). The majority of patients (67\%) were nonambulatory spastic quadriparetics. The average age at the time of surgery was 7.7 years (range, 3-15 years). Radiographic parameters analyzed were the neck-shaft and center-edge (CE) angles and Reimer's migration index (MI). Results were considered good if the CE angle was >20 degrees and the MI <30\%, fair if the CE angle was 0 degrees - 20 degrees and the MI 30-50\%, and poor if the patient had persistent pain, a CE angle of <0 degrees , or an MI >50\%. Twelve hips (8\%) remained painful at final follow-up, and 12 hips (8\%) dislocated despite surgery. Previous surgery, unilateral surgery, performing a pelvic osteotomy, and age at the time of surgery had no statistical influence on outcome. Good results were obtained in 43.1\%, fair in 41.5\%, and poor in 15.4\%. Only the quality of the reduction obtained at surgery, judged by the increase in CE angle and the reduction in MI, had a statistical influence on final result. Athetoid patients fared as well as those with spasticity. Femoral varus osteotomy was effective in providing a stable pain-free hip in 84\% of patients.}, added-at = {2014-07-19T21:19:30.000+0200}, author = {Settecerri, J. J. and Karol, L. A.}, biburl = {https://www.bibsonomy.org/bibtex/2c44b9b13d957f71c45f733f2a59118f5/ar0berts}, groups = {public}, interhash = {ad10c53d97300c051d0ae5ab28b66269}, intrahash = {c44b9b13d957f71c45f733f2a59118f5}, journal = {J Pediatr Orthop}, keywords = {Adolescent; Cerebral Palsy; Child; Child, Preschool; Female; Hip Dislocation; Humans; Male; Osteotomy; Postoperative Complications; Reoperation; Retrospective Studies; Treatment Outcome}, number = 6, pages = {776--780}, pmid = {11097253}, timestamp = {2014-07-19T21:19:30.000+0200}, title = {Effectiveness of femoral varus osteotomy in patients with cerebral palsy.}, username = {ar0berts}, volume = 20, year = 2000 }