title: Treatment of the painful chronically dislocated and subluxated hip in cerebral palsy with hip arthrodesis.
abstract: The purpose of this study was to evaluate 14 painful dislocated hips in patients with spastic cerebral palsy, treated with hip arthrodesis and internal fixation. The mean age at the surgical procedure was 15 years and 5 months. The mean follow-up period was 5 years and 3 months. All patients showed bone union, pain relief, and postural improvement. Hip arthrodesis is a reasonable option in treating painful spastic subluxated and dislocated hips in patients with cerebral palsy, especially if it is unilateral and the patient has weight-bearing function.
authors.affiliation: Santa Casa Medical School and Hospitals, São Paulo, Brazil. dot.neuromuscular@santacasasp.org.br
authors.forename: Patrícia M
authors.initials: PM
authors.lastname: de Moraes Barros Fucs
authors.forename: Celso
authors.initials: C
authors.lastname: Svartman
authors.forename: Rodrigo Montezuma C
authors.initials: RM
authors.lastname: de Assumpção
authors.forename: Paulo F
authors.initials: PF
authors.lastname: Kertzman
mesh_terms: D000293:Adolescent; D001174:Arthrodesis / Q000379:methods*; D002547:Cerebral Palsy / Q000150:complications*; D005260:Female; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology / Q000601:surgery; D011859:Radiography; D016896:Treatment Outcome