%0 Journal Article %1 Onimus1992 %A Onimus, M. %A Manzone, P. %A Cahuzac, J. P. %A Laurain, J. M. %A Lebarbier, P. %D 1992 %J Rev Chir Orthop Reparatrice Appar Mot %K Adolescent; Cerebral Palsy; Child; Femur; Hip Dislocation; Humans; Osteotomy; Pelvic Bones; Postoperative Period; Quadriplegia %N 2 %P 74--81 %T Surgical treatment of dislocations and subdislocations of the hip in patients with cerebral palsy by femoral and pelvic osteotomy %V 78 %X Fifty-one skeletally immature cerebral palsied (C.P.) children with 70 subluxated or dislocated hips were treated by conservative methods: femoral osteotomy (65 hips), pelvic osteotomy (52 hips) and arthrotomy when necessary (19 cases). 31 children were less than 10 years of age when operated on (mean 6 years, 6 months), 20 children were more than 10 years of age (mean 13 years, 13 months); mean follow-up was 4 years. Reduction and coverage were achieved and maintained in all patients, except for 6 redislocations: a pelvic obliquity was neglected in 3 cases; femoral shortening was not performed in 2 cases. Post-operative course was difficult in eldest patients with pain and stiffness but functional result was acceptable at follow-up in all cases except redislocations. Open reduction was related to a higher rate of postoperative rehabilitation problems. Modeling of previously deformed femoral heads and improvement of hip mobility were consistently seen at last follow-up, except for 3 redislocations. It is concluded that conservative methods are quite advisable in CP children and adolescents. Hip reduction should be preferred to femoral resection even in adolescent.

@article{Onimus1992, abstract = {Fifty-one skeletally immature cerebral palsied (C.P.) children with 70 subluxated or dislocated hips were treated by conservative methods: femoral osteotomy (65 hips), pelvic osteotomy (52 hips) and arthrotomy when necessary (19 cases). 31 children were less than 10 years of age when operated on (mean 6 years, 6 months), 20 children were more than 10 years of age (mean 13 years, 13 months); mean follow-up was 4 years. Reduction and coverage were achieved and maintained in all patients, except for 6 redislocations: a pelvic obliquity was neglected in 3 cases; femoral shortening was not performed in 2 cases. Post-operative course was difficult in eldest patients with pain and stiffness but functional result was acceptable at follow-up in all cases except redislocations. Open reduction was related to a higher rate of postoperative rehabilitation problems. Modeling of previously deformed femoral heads and improvement of hip mobility were consistently seen at last follow-up, except for 3 redislocations. It is concluded that conservative methods are quite advisable in CP children and adolescents. Hip reduction should be preferred to femoral resection even in adolescent.}, added-at = {2014-07-19T20:57:40.000+0200}, author = {Onimus, M. and Manzone, P. and Cahuzac, J. P. and Laurain, J. M. and Lebarbier, P.}, biburl = {https://www.bibsonomy.org/bibtex/24e1e2b0c2bbf80aa7393755d020a8c97/ar0berts}, groups = {public}, interhash = {e8eabf2243c1170af30a32da1db61cce}, intrahash = {4e1e2b0c2bbf80aa7393755d020a8c97}, journal = {Rev Chir Orthop Reparatrice Appar Mot}, keywords = {Adolescent; Cerebral Palsy; Child; Femur; Hip Dislocation; Humans; Osteotomy; Pelvic Bones; Postoperative Period; Quadriplegia}, number = 2, pages = {74--81}, pii = {78593}, pmid = {1410725}, timestamp = {2014-07-19T20:57:40.000+0200}, title = {[Surgical treatment of dislocations and subdislocations of the hip in patients with cerebral palsy by femoral and pelvic osteotomy]}, username = {ar0berts}, volume = 78, year = 1992 }