The hip in children with cerebral palsy: Predicting the outcome of soft tissue surgery

Cornell, M. S., Hatrick, N. C., Boyd, R., Baird, G. and Spencer, J. D. (1997) The hip in children with cerebral palsy: Predicting the outcome of soft tissue surgery. Clinical Orthopaedics And Related Research, 340 340: 165-171.

Author Cornell, M. S.
Hatrick, N. C.
Boyd, R.
Baird, G.
Spencer, J. D.
Title The hip in children with cerebral palsy: Predicting the outcome of soft tissue surgery
Journal name Clinical Orthopaedics And Related Research   Check publisher's open access policy
ISSN 0009-921X
1528-1132
Publication date 1997-07-01
Year available 1997
Sub-type Article (original research)
Open Access Status Not yet assessed
Volume 340
Issue 340
Start page 165
End page 171
Total pages 7
Place of publication PHILADELPHIA
Publisher LIPPINCOTT-RAVEN PUBL
Language eng
Abstract This study reviewed 56 hips in 37 children with cerebral palsy who had undergone an adductor tenotomy alone or in combination with an anterior obturator neurectomy. The mean review period was 5.3 years. At latest review, 25 of 30 (83%) hips with a preoperative migration percentage of less than 40% were reduced, but 20 of 26 (77%) hips with a preoperative migration percentage of 40% or more were subluxated or dislocated. Surgery was unsuccessful for 13 of 15 hips with an acetabular index of more than 27°. Percutaneous adductor tenotomy alone was as effective as the combination of an open procedure with an anterior obturator neurectomy. The age at the time of surgery did not have a significant effect on the outcome. The preoperative migration percentage was the only significant predictor of outcome in this group of children.
Keyword DISLOCATION
SUBLUXATION
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Thu, 10 Mar 2011, 20:15:59 EST