scholarly journals Reconstruction surgery for dislocated hips in children with cerebral palsy

2021 ◽  
Vol 27 (4) ◽  
pp. 481-486
Author(s):  
D.A. Popkov ◽  
◽  
G.M. Chibirov ◽  
A.D. Tomov Tomov ◽  
◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Hip Dislocation ◽  
Holistic Approach ◽  
Optimal Time ◽  
Long Term Outcomes ◽  
Hip Reconstruction ◽  
Reconstruction Surgery ◽  
Children With Cerebral Palsy ◽  
Orthopaedic Society

Introduction The article is a literature review focusing on reconstruction surgery for dislocated hips in children with cerebral palsy (CP). Material and methods Publications in Scopus, PubMed, RSCI indexed journals over the past 20 years were reviewed for hip dislocation in children with CP. Results and discussion The article discusses the prevalence of the orthopaedic complication of cerebral palsy, pathogenesis, diagnosis, indications to surgery, choice of surgical technique, early rehabilitation and long-term outcomes. A report made for the first educational meeting of the European Pediatric Orthopaedic Society held in Russia at the Ilizarov Center in 2021 was used for the contribution. Conclusion Surgical treatment is indicated for hip dislocation in children with CP using holistic approach and principles of single-event multilevel surgery that suggest hip reconstruction, addressing contractures and deformities of the subjacent segments and creating conditions for postoperative postural management. Standardized indications, patient selection and optimal time for intervention are to be carefully considered for the procedure with the use of customized orthopaedic implants and techniques.

Long-Term Results and Outcome Predictors in One-Stage Hip Reconstruction in Children with Cerebral Palsy

2015 ◽  
Vol 97 (6) ◽  
pp. 500-506 ◽  
Author(s):  
Erich Rutz ◽  
Patrick Vavken ◽  
Carlo Camathias ◽  
Celina Haase ◽  
Stephanie Jünemann ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Long Term Results ◽  
Outcome Predictors ◽  
Hip Reconstruction ◽  
One Stage ◽  
Children With Cerebral Palsy

Long-term outcomes over 10 years after femoral derotation osteotomy in ambulatory children with cerebral palsy

2018 ◽  
Vol 64 ◽  
pp. 119-125 ◽  
Author(s):  
Ki Hyuk Sung ◽  
Soon-Sun Kwon ◽  
Chin Youb Chung ◽  
Kyoung Min Lee ◽  
Gyeong Hee Cho ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Long Term Outcomes ◽  
Children With Cerebral Palsy ◽  
Derotation Osteotomy

Hip reconstruction in closed triradiate cartilage: long-term outcomes in patients with cerebral palsy

2021 ◽  
Author(s):  
Thomas Schlemmer ◽  
Reinald Brunner ◽  
Bernhard Speth ◽  
Carlo Camathias ◽  
Johannes Mayr ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Long Term Outcomes ◽  
Hip Reconstruction ◽  
Triradiate Cartilage

Hip reconstruction surgery is successful in restoring joint congruity in patients with cerebral palsy: long-term outcome

2014 ◽  
Vol 38 (11) ◽  
pp. 2237-2243 ◽  
Author(s):  
Frank Braatz ◽  
Annette Eidemüller ◽  
Matthias C. Klotz ◽  
Nicholas A. Beckmann ◽  
Sebastian I. Wolf ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Hip Reconstruction ◽  
Reconstruction Surgery ◽  
Joint Congruity

Long-term outcomes of external femoral derotation osteotomies in children with cerebral palsy

2017 ◽  
Vol 56 ◽  
pp. 82-88 ◽  
Author(s):  
Sylvia Õunpuu ◽  
Matthew Solomito ◽  
Katharine Bell ◽  
Kristan Pierz
Keyword(s):  
Cerebral Palsy ◽  
Long Term Outcomes ◽  
Children With Cerebral Palsy

scholarly journals Cerebral palsy with dislocated hip and scoliosis: what to deal with first?

2020 ◽  
Vol 14 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Ilkka J. Helenius ◽  
Elke Viehweger ◽  
Rene M. Castelein
Keyword(s):  
Cerebral Palsy ◽  
Early Identification ◽  
Hip Dislocation ◽  
Pelvic Obliquity ◽  
Neuromuscular Scoliosis ◽  
Function Score ◽  
Hip Reconstruction ◽  
Surveillance Programme ◽  
Children With Cerebral Palsy ◽  
Similar Programme

Purpose Hip dislocation and scoliosis are common in children with cerebral palsy (CP). Hip dislocation develops in 15% and 20% of children with CP, mainly between three and six years of age and especially in the spastic and dyskinetic subtypes. The risk of scoliosis increases with age and increasing disability as expressed by the Gross Motor Function Score. Methods A hip surveillance programme and early surgical treatment have been shown to reduce the hip dislocation, but it remains unclear if a similar programme could reduce the need for neuromuscular scoliosis. When hip dislocation and neuromuscular scoliosis are co-existent, there appears to be no clear guidelines as to which of these deformities should be addressed first: hip or spine. Results Hip dislocation or windswept deformity may cause pelvic obliquity and initiate scoliosis, while neuromuscular scoliosis itself leads to pelvic obliquity and may increase the risk of hip dislocation especially on the high side. It remains unclear if treating imminent hip dislocation can prevent development of scoliosis and vice versa, but they may present at the same time for surgery. Current expert opinion suggests that when hip dislocation and scoliosis present at the same time, scoliosis associated pelvic obliquity should be corrected before hip reconstruction. If the patient is not presenting with pelvic obliquity the more symptomatic condition should be addressed first. Conclusion Early identification of hip displacement and neuromuscular scoliosis appears to be important for better surgical outcomes.

Long-term outcomes after multilevel surgery including rectus femoris, hamstring and gastrocnemius procedures in children with cerebral palsy

2015 ◽  
Vol 42 (3) ◽  
pp. 365-372 ◽  
Author(s):  
Sylvia Õunpuu ◽  
Matthew Solomito ◽  
Katharine Bell ◽  
Peter DeLuca ◽  
Kristan Pierz
Keyword(s):  
Cerebral Palsy ◽  
Rectus Femoris ◽  
Long Term Outcomes ◽  
Multilevel Surgery ◽  
Children With Cerebral Palsy

scholarly journals Multilevel orthopaedic surgery in children with spastic cerebral palsy

2021 ◽  
Vol 27 (4) ◽  
pp. 475-480
Author(s):  
D.A. Popkov ◽  
◽  
G.M. Chibirov ◽  
V.V. Kozhevnikov ◽  
N.S. Gvozdev ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Scientific Information ◽  
Rehabilitation Program ◽  
Early Postoperative Period ◽  
Spastic Cerebral Palsy ◽  
Technical Requirements ◽  
Children With Cerebral Palsy ◽  
Orthopaedic Society ◽  
Multilevel Intervention

Introduction The purpose of the article was to review the modern literature on the role of multilevel single-stage interventions in the surgery of secondary orthopaedic complications in children with cerebral palsy. Material and methods The review was done using the databases of the current sources of scientific information including PubMed, Scopus, ResearchGate, RSCI and Elsevier, Springer publishing products. A report made for the first educational meeting of the European Pediatric Orthopaedic Society held in Russia at the Ilizarov Center in 2021 was used for the contribution. Results and discussion The article discusses terminology, indications, particular techniques and early postoperative period, long-term outcomes of multilevel orthopaedic interventions and aspects of iatrogenic orthopaedic conditions in children with cerebral palsy. Conclusion Multilevel intervention is the surgical procedure of choice for the correction of secondary orthopaedic complications in patients with cerebral palsy. The success of the surgery would depend on adequately identified indications and quantitative values of the correction to be performed on the basis of 3D gait analysis, the compliance with specific technical requirements for the procedure and an early rehabilitation program. The strategy of multilevel interventions suggests the greatest possible reduction in the number of orthopaedic surgeries and can be considered successful if the patient undergoes a maximum of two multilevel reconstructive interventions in the childhood.

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