title: Joint-preserving operation for osteoarthrosis of the hip in adult cerebral palsy.
abstract: BACKGROUND
  A joint-preserving operation was performed on 15 hips with osteoarthrosis, involving 12 patients who had adult cerebral palsy.
  
  
  METHODS
  Eleven hips underwent Chiari pelvic osteotomy only; three hips underwent Chiari pelvic osteotomy with femoral osteotomy and the other one hip underwent femoral varus osteotomy only. The mean follow-up period after surgery was 6 years and 2 months (with follow-up range of 2 years and 3 months to 10 years and 6 months).
  
  
  RESULTS
  Good results were achieved in 13 of the 15 hips (86.6%). Two patients with athetotic tetraplegia treated with Chiari pelvic osteotomy had pelvic obliquity. Progressive osteoarthrotic change continued in bilateral hips in one case treated with Chiari pelvic osteotomy.
  
  
  CONCLUSIONS
  We confirm that usual treatment for osteoarthrosis of the hip was also applicable for osteoarthrosis of the hip in cases of adult cerebral palsy, provided sufficient attention is given to the complications accompanying spastic paralysis.
authors.affiliation: Social Insurance Tagawa Hospital, Tagawa City, Japan. nishioka@tc4.so-net.ne.jp
authors.forename: E
authors.initials: E
authors.lastname: Nishioka
authors.forename: K
authors.initials: K
authors.lastname: Momota
authors.forename: N
authors.initials: N
authors.lastname: Shiba
authors.forename: F
authors.initials: F
authors.lastname: Higuchi
authors.forename: A
authors.initials: A
authors.lastname: Inoue
mesh_terms: D000328:Adult; D002547:Cerebral Palsy / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000209:etiology* / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*