Débridement Arthroplasty for Primary Osteoarthritis of the Elbow

Wada, Takuro; Isogai, Satoshi; Ishii, Seiichi; Yamashita, Toshihiko

doi:10.2106/jbjs.d.02684

Cited by 45 publications

(48 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results are, however, consistent with the studies showing a reduction in hip dislocation in the total CP population from 8% to nearly 0% in Southern Sweden and elimination of the need for salvage operations in Australia after commencement of their screening programmes [6,13]. …”

Section: Discussionsupporting

confidence: 92%

“…A strength of the present study is the comparison with contemporary rather than historical data, as has been the case in other studies [6,13]. Thus, our results indicate that a general improvement in treatment of spasticity and increased awareness of hip dislocation are unlikely to explain the effect of the surveillance programme.…”

Section: Discussionsupporting

confidence: 48%

“…In the surveillance area a higher proportion underwent femur osteotomy compared with the regular care areas, and also compared with the Australian surveillance programme. The latter difference is probably due to a longer observation time in Sweden [6,13]. In Southern Sweden a standardised protocol is used for hip surgery as outlined in the CP follow-up programme (CPUP) with early soft tissue surgery followed by femur osteotomy in progressive cases [1], and this most probably explains the variation in types of hip operations in the two study populations.…”

Section: Discussionmentioning

confidence: 99%

“…In Southern Sweden, a follow-up programme for CP was started in 1994 with a specific aim to identify patients at risk for hip dislocation and to prevent this complication. During the following ten years hip dislocation dropped from 8% to 0.5% [6]. Comparable results were reported from an Australian programme introduced in 1997 [13].…”

Section: Introductionmentioning

confidence: 86%

See 3 more Smart Citations

Prevalence of hip dislocation among children with cerebral palsy in regions with and without a surveillance programme: a cross sectional study in Sweden and Norway

Elkamil

Andersen

Hägglund

et al. 2011

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundHip dislocation is a serious complication among children with cerebral palsy (CP). The aim of this study was to compare the prevalence of hip dislocation among children with CP in an area providing regular care with an area providing hip surveillance services.MethodsThis is a cross-sectional study in seven Norwegian counties providing regular care and one Swedish healthcare region where a hip surveillance programme was introduced in 1994. Data were provided by the Norwegian Cerebral Palsy Register and the CP Register in Southern Sweden. Children born 1996 - 2003 with moderate to severe CP, defined as Gross Motor Classification System (GMFCS) levels III - V, were included. In all, 119 Norwegian and 136 Swedish children fulfilled the criteria. In Norway, data on hip operations and radiographs of the hips were collected from medical records, while these data are collected routinely in the Swedish register. The hip migration percentage was measured on the recent radiographs. Hip dislocation was defined as a migration percent of 100%.ResultsThe proportion of children at GMFCS levels III - V was 34% in the Norwegian and 38% in the Swedish population. In the Norwegian population, hip dislocation was diagnosed in 18 children (15.1%; CI: 9.8 - 22.6) compared with only one child (0.7%; 95% CI: 0.01 - 4.0) in Southern Sweden (p = < 0.001). Hip surgery was performed in 53 (44.5%) of the Norwegian children and in 43 (32%) of the Swedish children (p = 0.03). The total number of hip operations was 65 in Norway and 63 in Sweden. Norwegian children were first operated at a mean age of 7.6 years (SD: 2.9) compared with 5.7 years (SD: 2.3) in Sweden (p = 0.001).ConclusionsThe surveillance programme reduced the number of hip dislocations and the proportion of children undergoing hip surgery was lower. However, with the surveillance programme the first operation was performed at a younger age. Our results strongly support the effectiveness of a specifically designed follow-up programme for the prevention of hip dislocation in children with CP.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 86%

See 2 more Smart Citations

Prevalence of hip dislocation among children with cerebral palsy in regions with and without a surveillance programme: a cross sectional study in Sweden and Norway

Elkamil

Andersen

Hägglund

et al. 2011

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…Early therapeutic intervention is known to reduce the incidence rate of serious hip displacement in children with cerebral palsy 3. Thus, the early detection of hip displacement is critical to delay the progress of hip displacement.…”

Section: Introductionmentioning

confidence: 99%

Reliability of Hip Migration Index in Children with Cerebral Palsy: The Classic and Modified Methods

et al. 2012

View full text Add to dashboard Cite

ObjectiveTo determine reliability and clinical use of two methods of migration index (MI) in CP patients with or without hip dysplasia.MethodThe materials included radiographs of 200 hips of children with cerebral palsy. Conventional anteroposterior radiographs of the pelvis were taken with the child in the supine position with standardized methods. Two rehabilitation doctors measured the migration index using two methods. In the classic method, the lateral margin of the acetabular roof was used as a landmark and in the modified method the lateral margin of the sourcil was used as a landmark. Each rater measured the migration index at three separate times with a time interval of at least one week. Intraclass correlation (ICC) was used to test the inter- and intra-rater reliability.ResultsMI shows excellent intra-rater reliability in both the classic and modified methods, but the inter-rater reliability was higher in the classic method than in the modified method. When categorized according to the sourcil classification, inter-rater reliability was higher in the normal sourcil type and lower in the dysplastic sourcil types.ConclusionGenerally, the classic method showed higher reliability than the modified method, even though the reliability of the MI measurement was relatively high with both methods.

show abstract

Articular Cartilage Tissue Engineering

Athanasiou

Darling

2010

Synthesis Lectures on Tissue Engineering

View full text Add to dashboard Cite

Débridement Arthroplasty for Primary Osteoarthritis of the Elbow

Cited by 45 publications

References 1 publication

Prevalence of hip dislocation among children with cerebral palsy in regions with and without a surveillance programme: a cross sectional study in Sweden and Norway

Prevalence of hip dislocation among children with cerebral palsy in regions with and without a surveillance programme: a cross sectional study in Sweden and Norway

Reliability of Hip Migration Index in Children with Cerebral Palsy: The Classic and Modified Methods

Articular Cartilage Tissue Engineering

Contact Info

Product

Resources

About