Long-term results and outcome predictors in one-stage hip reconstruction in children with cerebral palsy.
Erich Rutz, Patrick Vavken, Carlo Camathias, Celina Haase, Stephanie Jünemann, Reinald Brunner
J Bone Joint Surg Am | Ovid Technologies (Wolters Kluwer Health) | Published : 2015
BACKGROUND: One-stage hip reconstruction is the gold standard for treatment of hip displacement in children with cerebral palsy. The aims of this study were (1) to report the subjective clinical, objective clinical, and radiographic outcomes; and (2) to investigate outcome predictors, including the influence of the following risk factors: femoral head shape, migration percentage, direction of migration, and age at surgery. METHODS: We reviewed 168 hip reconstructions (eighty-two right, eighty-six left) in 121 patients (101 male, twenty female) at a mean follow-up of 7.3 ± 4.6 years (range, four to eighteen years). Surgical outcomes were assessed on the basis of the pain intensity and frequen..View full abstract