Cheilectomy of the hip in children.
Cheilectomy of the hip is a salvage operation for patients with pain and limitation of motion caused by a mechanical blockage of an abnormally shaped femoral head. Eight patients ranging in age from 8 to 15 years were retrospectively reviewed in order to evaluate the intermediate-term results of cheilectomy to address the separate problems of pain, range of motion, and function. A mean follow-up of 5 years is reported. Clinical records and radiographs were analyzed. All patients were found to have short-term relief of pain and an increase in hip motion. Six of the eight patients regressed in terms of increased pain and loss of range of motion 2-4 years after cheilectomy. Children with an abnormally shaped femoral head causing pain and limitation of motion can benefit for a short time from cheilectomy, even if the physes are closed.
Erard
Michael C
MC
Shriners Hospital for Children, Springfield, MA 01104, USA.
Drvaric
David M
DM
D000293:Adolescent; D002648:Child; D005260:Female; D005270:Femur Head / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016879:Salvage Therapy; D016896:Treatment Outcome