The outcome of paediatric LCP hip plate use in children with and without neuromuscular disease

Islam, Saiful; Henry, A.; Khan, Tahir; Davis, Naomi; Zenios, M.

doi:10.1007/s12306-013-0308-6

Cited by 6 publications

(8 citation statements)

References 16 publications

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“…A literature review showed several complications of spica use postoperatively in CP patients, including femur fractures and pressure sores. 10,12 Loosening of the locking screws was not observed in our case series nor in previously published papers. 3,6 One publication reported the loosening of all three femur shaft screws due to technical failure of the DC holes rather than the locking holes themselves.…”

Section: Discussionmentioning

confidence: 40%

“…Similar results had been seen in previous published data that used same plate system. 3 , 10 This advantageous feature of stability makes this locking plate distinguishable when compared to other plates that showed loss of fixation in proximal femoral osteotomy, as reported by previous publications. 5 , 6 , 11 The LCP pediatric hip plate system provides an accurate correction of the proximal femoral deformity based on preoperative planning and the utilization of the positioner aiming block.…”

Section: Discussionmentioning

confidence: 59%

“…This primary stability and maintenance of osteotomy correction achieved by the LCP plate system had been addressed in several previous publications. 6,9,10 Primary stability achieved using this plate system avoids cast immobilization postoperatively, which protects the bone from further weakness and facilitates rehabilitation and care for the patient's caregivers. An exception to this were patients who underwent a combined pelvic surgery that necessitated the use of a hip spica.…”

Section: Discussionmentioning

confidence: 99%

“…This primary stability and maintenance of osteotomy correction achieved by the LCP plate system had been addressed in several previous publications. 6 , 9 , 10 …”

Section: Discussionmentioning

confidence: 99%

“…A literature review showed several complications of spica use postoperatively in CP patients, including femur fractures and pressure sores. 10 , 12 …”

Section: Discussionmentioning

confidence: 99%

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<p>Safety of the LCP Pediatric Hip Plate in Proximal Femoral Osteotomy in Children with Cerebral Palsy</p>

Samarah¹,

Shaheen²,

Tehabsim³

et al. 2020

JMDH

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Proximal femoral osteotomy in cerebral palsy patients is a demanding procedure. The fixation of the osteotomy can fail due to the weak osteoporotic bone. The LCP pediatric hip plate with its good grip makes these procedures safe. The aims of the present study are to evaluate the radiological outcome of proximal femoral osteotomy that was fixed with the pediatric LCP in cerebral palsy patients and to raise safety issues regarding its low rate of complications. Patients and Methods: Sixteen patients with cerebral palsy who were operated in our department were included in this retrospective study. Data collected from medical charts and X-ray measurements retrospectively reviewed. Results: In total, 16 patients (21 hips), ie, 9 males and 7 females, were included in this analysis. The mean age at the time of the index surgery was 11.9 years (5.9-18.0). The mean follow-up period was 4.78 years (1.5-8.0). Five patients had bilateral hip involvement and 11 had unilateral involvement. All patients had spastic cerebral palsy. The mean values of varus correction and de-rotation were 25° (0°-45°) and 35° (20°-50°), respectively. Neck shaft angle and the Reimer's migration index were significantly improved postoperatively (p<0.01 for both). Seventeen hips showed complete consolidation within 14 weeks of fixation and four hips needed 16 weeks. These four hips were in three patients who were 16 years of age or older. The correlation between age at surgery and the time needed for consolidation was statistically significant (p=0.005). Avascular necrosis, revision surgeries, failure of fixation, acetabular penetration, screw loosening or fracture of the femur were not seen in this study. Conclusion: The LCP pediatric hip plate can be used safely in CP patients. The plate provides a strong stable fixation on osteoporotic bone with a low rate of complications.

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Section: Discussionmentioning

confidence: 40%

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

“…This primary stability and maintenance of osteotomy correction achieved by the LCP plate system had been addressed in several previous publications. 6 , 9 , 10 …”

Section: Discussionmentioning

confidence: 99%

“…A literature review showed several complications of spica use postoperatively in CP patients, including femur fractures and pressure sores. 10 , 12 …”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

<p>Safety of the LCP Pediatric Hip Plate in Proximal Femoral Osteotomy in Children with Cerebral Palsy</p>

Samarah¹,

Shaheen²,

Tehabsim³

et al. 2020

JMDH

View full text Add to dashboard Cite

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Osteotomien am proximalen Femur mit der winkelstabilen kindlichen Hüftplatte (LCP): Valgusosteotomie

Ziebarth

Slongo

2015

Oper Orthop Traumatol

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Proximale Varisationsosteotomie des Femurs beim Morbus Perthes

Krátký¹,

Kraus²,

Krieg³

2022

Oper Orthop Traumatol

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Zusammenfassung Operationsziel Die proximale femorale Varisationsosteotomie (PVO) ist eine chirurgische Technik zur Rezentrierung des Hüftkopfes, sofern es bspw. im Rahmen der ablaufenden Legg-Calvé-Perthes(LCPD)-Krankheit zur Subluxation gekommen ist. Indikationen Bis anhin existieren keine einheitlichen Indikationskriterien für die Containment-Therapie bei LCPD-Patienten. Einzelne, für die Deformitätsentwicklung prädiktive radiologische Faktoren, Alter bei Diagnosestellung oder Symptombeginn und Klassifikationen, welche die Pathomorphologie des Femurkopfes bezogen auf die Nekrose beschreiben, können die Indikationsstellung erleichtern. Kontraindikationen Die absolute Kontraindikation stellt die Entwicklung eines Scharniergelenkes dar (Hinge-Abduktion). Bleibt der Femurkopf in einer Abduktionsröntgenaufnahme von 20° auch in Abwesenheit einer Hinge-Abduktion dezentriert oder besteht ein Total-Kopf-Befall, ergibt sich ebenfalls eine Kontraindikation. Relativ kontraindiziert ist die PVO bei Kindern mit Beginn der Erkrankung < 6 Jahren, in der Lateral-Pillar-Klassifikation Gruppe A soiwe bei I und II nach Catterall. Operationstechnik Lateraler Standardzugang zum proximalen Femur. Platzieren des Anteversions-K-Drahtes ventral des Schenkelhalses. Weitere K-Drähte werden parallel mithilfe von Positionierinstrumenten in den Schenkelhals eingebracht. Der optimale Bereich für die Osteotomie wird aufgesucht. Für die Vereinfachung der Manipulation des distalen Fragments und als Referenz für die Derotation werden am Femurschaft weitere K‑Drähte eingebracht. Nach Femurosteotomie erfolgt proximales Fixieren der Platte durch sukzessives Auswechseln der K‑Drähte gegen winkelstabile Schrauben. Die interfragmentäre Kompression erzeugt eine exzentrisch positionierte Kortikalisschraube im mittleren distalen Plattenloch. Die weitere distale Fixation der Platte erfolgt mit winkelstabilen Schrauben. Auswechseln der Kortikalisschraube gegen eine weitere winkelstabile Schraube. Alternativ zur hier beschriebenen winkelstabilen Technik wurde früher meist mittels Winkelplatte korrigiert. Weiterbehandlung Mobilisation unter Abrollbelastung an 2 Gehstöcken über 6 Wochen. Röntgenkontrolle und bei genügender Knochenkonsolidation Steigerung der Belastung. Implantatentfernung nach 9 bis 12 Monaten. Rückkehr zum Sport ab 3 Monaten. Ergebnisse Die PVO ist eine in der Behandlung von LCPD nahezu seit 60 Jahren angewendete und weltweit etablierte chirurgische Technik. Durch ein stetig wachsendes Verständnis der Grunderkrankung wird einerseits die Indikationsstellung für operative Interventionen optimiert. Andererseits tragen neue Implantate zur Verbesserung der klinisch-radiologischen Resultate und Verringerung von Komplikationen während und nach Operation bei.

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The outcome of paediatric LCP hip plate use in children with and without neuromuscular disease

Abstract: The paediatric LCP hip plate provides a stable and reliable fixation of the proximal femoral osteotomy performed for a variety of paediatric orthopaedic conditions.

Cited by 6 publications

References 16 publications

<p>Safety of the LCP Pediatric Hip Plate in Proximal Femoral Osteotomy in Children with Cerebral Palsy</p>

<p>Safety of the LCP Pediatric Hip Plate in Proximal Femoral Osteotomy in Children with Cerebral Palsy</p>

Osteotomien am proximalen Femur mit der winkelstabilen kindlichen Hüftplatte (LCP): Valgusosteotomie

Proximale Varisationsosteotomie des Femurs beim Morbus Perthes

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