Treatment of the painful chronically dislocated and subluxated hip in cerebral palsy with hip arthrodesis

被引:26
作者
Fucs, PMDB
Svartman, C
de Assumpçao, RMC
Kertzman, PF
机构
[1] Santa Casa Med Sch, BR-01227900 Sao Paulo, Brazil
[2] Santa Casa Hosp, Sao Paulo, Brazil
[3] Santa Casa de Misericordia Sao Paulo, Dept Ortopedia & Traumatol, Sao Paulo, Brazil
关键词
arthrodesis; cerebral palsy; hip dislocation;
D O I
10.1097/00004694-200307000-00021
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The purpose of this study was to evaluate 14 painful dislocated hips in patients with spastic cerebral palsy, treated with hip arthrodesis and internal fixation. The mean age at the surgical procedure was 15 years and 5 months. The mean follow-up period was 5 years and 3 months. All patients showed bone union, pain relief, and postural improvement. Hip arthrodesis is a reasonable option in treating painful spastic subluxated and dislocated hips in patients with cerebral palsy, especially if it is unilateral and the patient has weight-bearing function.
引用
收藏
页码:529 / 534
页数:6
相关论文
共 10 条
[1]
LONG-TERM FOLLOW-UP OF HIP SUBLUXATION IN CEREBRAL-PALSY PATIENTS [J].
BAGG, MR ;
FARBER, J ;
MILLER, F .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1993, 13 (01) :32-36
[2]
BLECK EE, 1987, ORTHOPAEDIC MANAGEME, P497
[3]
BULY RL, 1993, CLIN ORTHOP RELAT R, P148
[4]
PROXIMAL FEMORAL RESECTION-INTERPOSITION ARTHROPLASTY [J].
CASTLE, ME ;
SCHNEIDER, C .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1978, 60 (08) :1051-1054
[5]
Prosthetic interposition arthroplasty for the palliative treatment of end-stage spastic hip disease in nonambulatory patients with cerebral palsy [J].
Gabos, PG ;
Miller, F ;
Galban, MA ;
Gupta, GG ;
Dabney, K .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1999, 19 (06) :796-804
[6]
HOFFMAN M, 1981, ORTHOP CLIN N AM, V12, P91
[7]
PROXIMAL FEMORAL RESECTION TO ALLOW ADULTS WHO HAVE SEVERE CEREBRAL-PALSY TO SIT [J].
MCCARTHY, RE ;
SIMON, S ;
DOUGLAS, B ;
ZAWACKI, R ;
REESE, N .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (07) :1011-1016
[8]
MCHALE KA, 1990, J PEDIATR ORTHOPED, V10, P504
[9]
THE TREATMENT OF THE PAINFUL HIP IN CEREBRAL-PALSY BY TOTAL HIP-REPLACEMENT OR HIP ARTHRODESIS [J].
ROOT, L ;
GOSS, JR ;
MENDES, J .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1986, 68A (04) :590-598
[10]
Root L, 1996, AAOS INSTRUC COURSE, V45, P475