Our approach to the spastic hip subluxation and dislocation in children with cerebral palsy
Language English Country Czech Republic Media print
Document type Journal Article
- MeSH
- Child MeSH
- Hip Joint diagnostic imaging surgery MeSH
- Humans MeSH
- Hip Dislocation complications diagnostic imaging surgery MeSH
- Adolescent MeSH
- Cerebral Palsy complications MeSH
- Orthopedic Procedures methods MeSH
- Palliative Care MeSH
- Child, Preschool MeSH
- Radiography MeSH
- Muscle Spasticity complications MeSH
- Treatment Outcome MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Adolescent MeSH
- Child, Preschool MeSH
- Publication type
- Journal Article MeSH
The purpose of this study was to evaluate the effectiveness of our approach to the spastic hip subluxation and dislocation in children with cerebral palsy. We evaluated 56 hips in our consecutive patients who had been operated on at our department between January 2003 and December 2005. There were done soft-tissue release procedures in 42 hips, osseous reconstructive surgery in 11 hips and osseous palliative surgery in 3 hips. The duration of follow-ups was 1-3 years after surgery. We achieved good result in 15 hips after soft-tissue release, fifteen hips had a fair result, nine a poor result and three a failure. No redislocation was observed after osseous surgery in our patients. Two patients observed no pain after osseous palliative surgery, transient pain in the hip was in one case. In all hips the range of motion (abduction) was increased. The personal hygiene and possibilities of rehabilitation were improved. Childhood is the optimal time to intervene to maximize the function of the patient with cerebral palsy. The musculoskeletal treatment of the child prevents future problems with pain and deformity.
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