PREVENTION OF SPASTIC PARALYTIC DISLOCATION OF THE HIP
- 1 February 1985
- journal article
- research article
- Published by Wiley in Developmental Medicine and Child Neurology
- Vol. 27 (1) , 17-24
- https://doi.org/10.1111/j.1469-8749.1985.tb04520.x
Abstract
In a retrospective review of 99 children with spastic cerebral palsy, the efficacy of soft-tissue procedures alone in reducing early subluxation of the hip and preventing further subluxation and dislocation was determined. The indication for surgery was early subluxation of one or both hips. Surgery was either adductor tenotomy with or without anterior branch obturator neurectomy, or adductor tenotomy in combination with iliopsoas recession. Results were poor for 64% after adductor tenotomy and anterior branch obturator neurectomy. For patients who also had iliopsoas recession the success rate was 72%. Radiographic analuysis showed that uncovering of the femoral head had halted or improved in 80% of patients following iliopsoas recession.This publication has 13 references indexed in Scilit:
- The Untreated Unstable Hip in Severe Cerebral PalsyClinical Orthopaedics and Related Research, 1983
- The Stability of the Hip in Children: A Radiological Study of the Results of Muscle Surgery in Cerebral PalsyActa Orthopaedica, 1980
- Dislocation and Subluxation of the Hip in Cerebral PalsyJournal of Bone and Joint Surgery, 1972
- Developmental Changes in the Femur and Acetabulum in Spastic Paraplegia and DiplegiaDevelopmental Medicine and Child Neurology, 1969
- Pathological Changes in the Hip in Cerebral PalsyJournal of Bone and Joint Surgery, 1962
- Hip Deformities in Cerebral Palsy and their TreatmentDevelopmental Medicine and Child Neurology, 1962
- Adductor Myotomy and Obturator Neurectomy for the Correction of Adduction Contracture of the Hip in Cerebral PalsyJournal of Bone and Joint Surgery, 1960
- Hip Dislocation in Cerebral PalsyJournal of Bone and Joint Surgery, 1956