Hip Fusion as Hip Salvage Procedure in Cerebral Palsy

被引:6
|
作者
De Moraes Barros Fucs, Patricia M. [1 ]
Yamada, Helder H. [1 ]
机构
[1] Santa Casa Med Sch & Hosp, Neuromuscular Clin, Dept Orthopaed, BR-05621030 Sao Paulo, Brazil
关键词
hip; hip fusion; cerebral palsy; PROXIMAL FEMORAL RESECTION; GROSS MOTOR FUNCTION; SURGICAL-TREATMENT; DISLOCATED HIP; COMPLICATIONS; DISPLACEMENT; CHILDREN; SURGERY; ADULTS;
D O I
10.1097/BPO.0000000000000291
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 treatment of the spastic hip in Cerebral Palsy (CP) remains a challenge especially in cases of advance changes. Many options are available and the key for a good outcome is to find the best surgical procedure to an individualized patient. The hip fusion is one of the surgical options. The authors presented a group of spastic CP with painful chronic hip subluxation and dislocation treated with hip fusion with a mean follow-up period of 14.5 years. Surgical technique, post-operative management and outcomes were shown, also with the observations done regarding the evolution of the contralateral hip after the hip fusion. They concluded that the hip arthrodesis is an option for patients with spastic CP with painful subluxation or dislocated hips with the goal of pain relief maintain or improve functional status, and facilitating the care. The best candidate is a young ambulatory patient with normal contralateral hip and normal spinal alignment.
引用
收藏
页码:S32 / S35
页数:4
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