Effects of surgical adductor releases for hip subluxation in cerebral palsy: an AACPDM evidence report

被引:25
|
作者
Stott, NS
Piedrahita, L
机构
[1] Univ Auckland, Fac Med & Hlth Sci, Dept Surg, Auckland, New Zealand
[2] Orthopaed & Sports Med Associates, Raleigh, NC USA
来源
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY | 2004年 / 46卷 / 09期
关键词
D O I
10.1017/S0012162204001069
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In summary, this body of published evidence must be regarded as preliminary at best. Overall, there are substantial gaps in the body of evidence that need to be addressed by future research. Given the low frequency and variable severity of CP, multicenter studies are needed to recruit adequately matched samples. Not all subluxated hips progress to dislocation in children who have CP, so control groups must also be included, where ethically possible, to allow discrimination between the natural history of the condition and the effects of the intervention. Further studies to assess the reliability and validity of the available radiographic outcome measures are also required with correlation to criterion standard assessments of femoral head coverage, such as magnetic resonance imaging and three-dimensional computerized-tomography imaging studies.
引用
收藏
页码:628 / 645
页数:18
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