Bilateral hip reconstruction in severe whole-body cerebral palsy
| العنوان: | Bilateral hip reconstruction in severe whole-body cerebral palsy |
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| المؤلفون: | J Pyman, Fergal Monsell, M Gargan, T While, M.J. Barakat |
| المصدر: | The Journal of Bone and Joint Surgery. British volume. :1363-1368 |
| بيانات النشر: | British Editorial Society of Bone & Joint Surgery, 2007. |
| سنة النشر: | 2007 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Gross motor skill, Cerebral palsy, Central nervous system disease, medicine, Deformity, Humans, Orthopedics and Sports Medicine, Range of Motion, Articular, Child, Hip Contracture, business.industry, Cerebral Palsy, Soft tissue, Plastic Surgery Procedures, medicine.disease, Surgery, Treatment Outcome, El Niño, Child, Preschool, Radiological weapon, Orthopedic surgery, Female, Hip Joint, medicine.symptom, business, Follow-Up Studies |
| الوصف: | The results of a functional, clinical and radiological study of 30 children (60 hips) with whole-body cerebral palsy were reviewed at a mean follow-up of 10.2 years (9.5 to 11). Correction of windsweep deformity of the hips was performed by bilateral simultaneous combined soft-tissue and bony surgery at a mean age of 7.7 years (3.1 to 12.2). We were able to recall 22 patients; five had died of unrelated causes and three were lost to follow-up. Evaluation involved interviews with patients/carers and clinical and radiological examination. The gross motor functional classification system was used to assess overall motor function and showed improvement in seven patients. Of the 12 patients thought to have pain pre-operatively, only one had pain post-operatively. Improved handling was reported in 18 of 22 patients (82%). Those with handling problems were attributed by the carers to growth of the patients. All patients/carers considered the procedure worthwhile. The range of hip movements improved, and the mean windsweep index improved from 50 pre-operatively to 36 at follow-up. The migration percentage and centre-edge angle were assessed on plain radiographs. Radiological containment improved, the mean migration percentage improved from 50 pre-operatively to 20 at follow-up and the mean centre-edge angle improved from −5° to 29°. No statistical difference was noted between the three-year and ten-year follow-up results, indicating that the improvements in clinical and radiological outcome had been maintained. |
| تدمد: | 2044-5377 0301-620X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::525bb68c17f5e05f1a942a4466a8aae6 https://doi.org/10.1302/0301-620x.89b10.18446 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....525bb68c17f5e05f1a942a4466a8aae6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20445377 0301620X |
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