Bony hip reconstruction for displaced hips in patients with cerebral palsy: Is postoperative immobilization indicated?

Amen, John; Perkins, Oliver; Kafchitsas, Konstantinos; Reed, Daniel; Norman-Taylor, Fabian; Kokkinakis, Michail

doi:10.1177/18632521231164983

Cited by 3 publications

(1 citation statement)

References 34 publications

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“…In this retrospective cohort from London (UK) , the team aimed to evaluate the safety of not using postoperative immobilization after bony hip reconstructive surgery in patients with CP, in particular whether immobilization was required to prevent re-dislocations. 3 The authors reviewed the medical records of 228 hips in 148 patients, all with a diagnosis of CP who underwent hip surgery. The aim of the study was to assess the incidence of complications, pain control methods, and length of hospital stay.…”

Section: Bony Hip Reconstruction For Displaced Hips In Patients With ...mentioning

confidence: 99%

Children’s orthopaedics

2023

Bone &Amp; Joint 360

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The August 2023 Children’s orthopaedics Roundup360 looks at: DDH: What can patients expect after open reduction?; Femoral head deformity associated with hip displacement in non-ambulatory cerebral palsy; Bony hip reconstruction for displaced hips in patients with cerebral palsy: is postoperative immobilization indicated?; Opioid re-prescriptions after ACL reconstruction in adolescents are associated with subsequent opioid use disorder; Normative femoral and tibial lengths in a modern population of USA children; Retrospective analysis of associated anomalies in 636 patients with operatively treated congenital scoliosis; Radiological hip shape and patient-reported outcome measures in healed Perthes’ disease; Significantly displaced adolescent posterior sternoclavicular joint injuries.

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Section: Bony Hip Reconstruction For Displaced Hips In Patients With ...mentioning

confidence: 99%

Children’s orthopaedics

2023

Bone &Amp; Joint 360

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Features of treatment of hip fractures in children with severe forms of cerebral palsy

Tomov,

Gabidullina,

Shlyapnikova

et al. 2023

N.N. Priorov Journal of Traumatology and Orthopedics

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BACKGROUND: The increased incidence of fractures in children with severe spastic paralysis due to low-energy trauma is associated with poor bone mineral density, lack of adequate verticalization, and use of antiepileptic drugs. The most frequent localization of fractures is the lower extremities, especially the femur. The increased frequency of traumatization at this level correlates with a high level of impairment of global motor functions — levels IV–V according to the Gross Motor Function Classification System. CLINICAL CASE DESCRIPTION: Surgical treatment of a femur fracture in a child with cerebral palsy was performed. Given the ineffectiveness of repositioning due to spasticity of the adductor and iliopsoas muscles, one-stage repositioning of the fragments, myotomy and osteosynthesis were performed. Treatment of fractures in 3 more children with cerebral palsy was also described in the article. The results were evaluated at least 6 months after the end of treatment. Surgical treatment is preferable, providing sufficient stabilization of the fracture, reducing the time of plaster immobilization and the probability of associated risks, as well as preventing delayed consolidation and nonunions. CONCLUSION: Elastic intramedullary reinforcement used in the treatment of osteopenic fractures is a method of preventing fracture recurrence in the distant period or preventing significant fragment displacement.

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Hip Joint Angular Values in Children with Bilateral Spastic Cerebral Palsy: A Comparison between Ambulatory and Nonambulatory Groups According to the Gross Motor Functional Classification System

Rende,

Orha

2024

Journal of the Anatomical Society of India

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Objective: The aim of this study was to compare the migration index (MI), femoral inclination angle (FIA), lateral center-edge angle (LCEA), and acetabular index (AI) values measured from hip joint radiographs of children with bilateral spastic cerebral palsy (CP) divided into ambulatory and nonambulatory groups according to the Gross Motor Functional Classification System with functional levels of children, and to examine their relationship with anthropometric measurements of the lower extremities. Materials and Methods: The present investigation encompassed the evaluation of 30 children afflicted with CP, through the conduction of hip joint radiographic assessments, which involved the right and left hip joints, the acquisition of images using MI, FIA, LCEA, and AI parameters, as well as measurement of lower-extremity anthropometric data. Results: A significant difference was found between ambulatory and nonambulatory groups in the left MI, FIA, and LCEA (P < 0.05). In comparison of anthropometric measurements to height ratios, no significant difference was found, except for left ankle circumference and bi-iliac diameter measurements (P > 0.05). Conclusion: The hip joint angular values of the ambulatory group were found to be within normal limits compared to those of the nonambulatory group. Although there were significant differences between hip joint angles in the two groups, there was no significant correlation with lower-extremity anthropometric measurements. It was concluded that hip joint angles were more pathological and prone to hip displacement in the nonambulatory group. This study revealed the importance of strategies to maintain and improve the functional capacity of children with CP.

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Bony hip reconstruction for displaced hips in patients with cerebral palsy: Is postoperative immobilization indicated?

Cited by 3 publications

References 34 publications

Children’s orthopaedics

Children’s orthopaedics

Features of treatment of hip fractures in children with severe forms of cerebral palsy

Hip Joint Angular Values in Children with Bilateral Spastic Cerebral Palsy: A Comparison between Ambulatory and Nonambulatory Groups According to the Gross Motor Functional Classification System

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