title: Femoral varus derotational osteotomy in cerebral palsy.
abstract: The records concerning 64 hips in 36 cerebral palsy patients treated with varus derotational osteotomy (VDO) alone (2 hips), VDO with muscle releases (adductors, iliopsoas, hamstrings; 46 hips), and VDO, soft-tissue release, and innominate bone osteotomy (16 hips) were reviewed. There were 23 quadriplegic and 13 diplegic patients. Average age at surgery was 7 years. Average follow-up period was 3.8 years. All hips that had VDO, soft-tissue release, and innominate osteotomy were stable at follow-up. Nine hips of the 44 treated with VDO and muscle release alone dislocated, and required second osteotomies.
authors.affiliation: Orthopedic Department, Soroka Medical Center, Ben Gurion University, Beer-Sheva, Israel.
authors.forename: D
authors.initials: D
authors.lastname: Atar
authors.forename: A D
authors.initials: AD
authors.lastname: Grant
authors.forename: E
authors.initials: E
authors.lastname: Mirsky
authors.forename: W B
authors.initials: WB
authors.lastname: Lehman
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D005269:Femur / Q000601:surgery*; D006621:Hip Joint; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery*; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery; D010027:Osteotomy; D012189:Retrospective Studies