Adductor tenotomies in children with quadriplegic cerebral palsy: longer term follow-up.
R. Turker, and R. Lee. J Pediatr Orthop, 20 (3):
370--374(2000)
Abstract
Adductor tenotomy procedures for prophylaxis against severe hip subluxation in children with quadriplegic cerebral palsy have reported good to excellent success rates; however, the overall follow-up has been short. In a retrospective review designed to obtain longer term follow-up of adductor tenotomies in these children, we found that 58\% of our patients had continued subluxation or dislocation with the eventual need for further surgery. These results differ significantly from those of previous studies. There was a trend among the patients who did well to have less preoperative subluxation than those who needed further intervention, but we did not find a statistically significant cut-off value that was predictive of success or failure. Age at the time of surgery also did not influence the outcome in our patient population. An 8-year average follow-up of adductor tenotomies showed a higher loss of hip stability than previous mid range follow-up studies.
%0 Journal Article
%1 Turker2000
%A Turker, R. J.
%A Lee, R.
%D 2000
%J J Pediatr Orthop
%K Cerebral Palsy; Child; Child, Preschool; Female; Hip Dislocation; Humans; Male; Quadriplegia; Retrospective Studies; Tendon; s
%N 3
%P 370--374
%T Adductor tenotomies in children with quadriplegic cerebral palsy: longer term follow-up.
%V 20
%X Adductor tenotomy procedures for prophylaxis against severe hip subluxation in children with quadriplegic cerebral palsy have reported good to excellent success rates; however, the overall follow-up has been short. In a retrospective review designed to obtain longer term follow-up of adductor tenotomies in these children, we found that 58\% of our patients had continued subluxation or dislocation with the eventual need for further surgery. These results differ significantly from those of previous studies. There was a trend among the patients who did well to have less preoperative subluxation than those who needed further intervention, but we did not find a statistically significant cut-off value that was predictive of success or failure. Age at the time of surgery also did not influence the outcome in our patient population. An 8-year average follow-up of adductor tenotomies showed a higher loss of hip stability than previous mid range follow-up studies.
@article{Turker2000,
abstract = {Adductor tenotomy procedures for prophylaxis against severe hip subluxation in children with quadriplegic cerebral palsy have reported good to excellent success rates; however, the overall follow-up has been short. In a retrospective review designed to obtain longer term follow-up of adductor tenotomies in these children, we found that 58\% of our patients had continued subluxation or dislocation with the eventual need for further surgery. These results differ significantly from those of previous studies. There was a trend among the patients who did well to have less preoperative subluxation than those who needed further intervention, but we did not find a statistically significant cut-off value that was predictive of success or failure. Age at the time of surgery also did not influence the outcome in our patient population. An 8-year average follow-up of adductor tenotomies showed a higher loss of hip stability than previous mid range follow-up studies.},
added-at = {2014-07-19T21:49:57.000+0200},
author = {Turker, R. J. and Lee, R.},
biburl = {https://www.bibsonomy.org/bibtex/24c6176c26f8ba6c1aebe95bac5da008b/ar0berts},
groups = {public},
interhash = {a0a671297ef252140682e6f9bcec96c5},
intrahash = {4c6176c26f8ba6c1aebe95bac5da008b},
journal = {J Pediatr Orthop},
keywords = {Cerebral Palsy; Child; Child, Preschool; Female; Hip Dislocation; Humans; Male; Quadriplegia; Retrospective Studies; Tendon; s},
number = 3,
pages = {370--374},
pmid = {10823607},
timestamp = {2014-07-19T21:49:57.000+0200},
title = {Adductor tenotomies in children with quadriplegic cerebral palsy: longer term follow-up.},
username = {ar0berts},
volume = 20,
year = 2000
}