The pediatric LCP hip plate for fixation of proximal femoral osteotomy in cerebral palsy and severe osteoporosis

Abstract

Background: Hip dislocation or subluxation together with poor nutrition, reduced weight bearing, and osteoporosis is a frequent condition in severe cerebral palsy (CP). Severe osteoporosis may cause difficulties in fixing a proximal femoral osteotomy with a conventional blade plate. The Pediatric locking compression plate (LCP) Hip Plate system offers better grip and more stable fixation. Methods: Fifty-three proximal femoral osteotomies, alone or as part of a more complex surgical intervention, were performed in 28 patients (17 boys and 11 girls, age at surgery average 10.4 y, 3 to 19 y). All children suffered from CP (24 quadriplegics, 2 diplegics, and 2 hemiplegics) with Gross Motor Funct..