Disorders of the hip joint in children with the spastic form of cerebral palsy.
This article presents current views on the treatment of the hip joint in children with cerebral palsy, on the basis of a review of the literature and the authors own consisting of 95 children treated in our clinic for spastic hip. The treatment consisted of physiotherapy, followed by surgery. The most common surgical procedures included soft tissue release in children with a Reimers migration index (MI) of 30%, femoral varus osteotomy in children under 8 years of age with MI over 40%, and varus osteotomy with pelvic osteotomy in older children. With appropriate early intervention and regular orthopedic control surgery can be performed at the appropriate time, which produces satisfactory long-term and functional results.
Katedra i Klinika Ortopedii, Akademia Medyczna, Łódź
Marek
M
Synder
Andrzej
A
Grzegorzewski
Marcin
M
Sibiński