Hip dislocation in cerebral palsy: selection for treatment.
Forty-five patients with cerebral palsy hip-dislocation were reviewed and it was found that some did well without treatment. For patients with hip pain, the best results were obtained with extensive resection arthroplasty: soft-tissue surgery alone was unsuccessful. Open reduction with femoral osteotomy achieved concentric reduction in all 15 patients who had this type of surgery: however, most retained their abnormal postural reflex activity to such a degree that subsequent scoliosis, pelvic obliquity, hip extension contractures and knee flexion deformities compromised the success of the hip surgery.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001178:Arthroplasty; D002547:Cerebral Palsy / Q000150:complications / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000150:complications / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged