Acetabular and femoral remodeling after varus derotational osteotomy in cerebral palsy: the effect of age and Gross Motor Function Classification Level

被引：13

作者：

Shore, Benjamin J. ^{[1
]}

Powell, Dustin ^{[1
]}

Miller, Patricia E. ^{[1
]}

Matheney, Travis H. ^{[1
]}

Snyder, Brian D. ^{[1
]}

机构：

[1] Boston Childrens Hosp, Dept Orthopaed Surg, 300 Longwood Ave, Boston, MA 02115 USA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2016年 / 25卷 / 04期

关键词：

acetabular remodeling; cerebral palsy; proximal femoral varus derotation osteotomy; ONE-STAGE CORRECTION; ROTATIONAL OSTEOTOMY; SURGICAL-MANAGEMENT; HIP DISPLACEMENT; SPASTIC HIP; CHILDREN; DISLOCATION; SUBLUXATION; FEMUR; ACETABULOPLASTY;

D O I：

10.1097/BPB.0000000000000322

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：

This study investigated the degree of acetabular and femoral remodeling after isolated varus derotation osteotomy (VDRO) in children with cerebral palsy. This retrospective review investigated 56 children (103 hips) who underwent VDROs for spastic hip displacement between 1994 and 2007. The average age of the patients at surgery was 7.7 years and the follow-up duration was 7.8 years (range 5-11 years). The acetabular index showed a significant linear decrease (P<0.001), with children of less than 6 years showing the greatest correction (P<0.001). VDRO without pelvic osteotomy does result in a mild improvement in acetabular dysplasia over time, with greater rates of correction found in children of less than 6 years old. Level of Evidence: Therapeutic Study-Level IV. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.

引用

页码：322 / 330

页数：9

共 43 条

[31] High reoperation rates after early treatment of the subluxating hip in children with spastic cerebral palsy [J].

Schmale, Gregory A. ;

Eilert, Robert E. ;

Chang, Frank ;

Seidel, Kristy .

JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2006, 26 (05) :617-623

[32] Effectiveness of femoral varus osteotomy in patients with cerebral palsy [J].

Settecerri, JJ ;

Karol, LA .

JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2000, 20 (06) :776-780

[33] TORSION OF THE FEMUR - A FOLLOW-UP REPORT ON THE USE OF THE DUNLAP METHOD FOR ITS DETERMINATION [J].

SHANDS, AR ;

STEELE, MK .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1958, 40 (04) :803-816

[34] ACETABULAR DYSPLASIA - THE ACETABULAR ANGLE [J].

SHARP, IK .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1961, 43 (02) :268-272

[35] SURGICAL PROPHYLAXIS OF SUBLUXATION AND DISLOCATION OF HIP IN CEREBRAL-PALSY [J].

SHARRARD, WJW ;

ALLEN, JMH ;

HEANEY, SH ;

PRENDIVILLE, GRG .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1975, 57 (02) :160-166

[36]

Shore B, 2012, CURR REV MUSCULOSKE, V5, P126, DOI 10.1007/s12178-012-9120-4

[37] Proximal Femoral Varus Derotation Osteotomy in Children with Cerebral Palsy The Effect of Age, Gross Motor Function Classification System Level, and Surgeon Volume on Surgical Success [J].

Shore, Benjamin J. ;

Zurakowski, David ;

Dufreny, Chantal ;

Powell, Dustin ;

Matheney, Travis H. ;

Snyder, Brian D. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2015, 97A (24) :2024-2031

[38] Femoral varus derotation osteotomy with or without acetabuloplasty for unstable hips in cerebral palsy [J].

Song, HR ;

Carroll, NC .

JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1998, 18 (01) :62-68

[39] Hip displacement in cerebral palsy [J].

Soo, B ;

Howard, JJ ;

Boyd, RN ;

Reid, SM ;

Lanigan, A ;

Wolfe, R ;

Reddihough, D ;

Graham, HK .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (01) :121-129

[40]

TYLKOWSKI CM, 1980, CLIN ORTHOP RELAT R, P183

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