title: Outcomes of total hip arthroplasty in spastic patients.
abstract: Patients with spasticity and hip arthritis can present challenges to treatment. This investigation evaluated the effectiveness and safety of THA in patients with upper motor neuron disease. Twenty-seven consecutive patients with history of cerebral palsy (CP) or acquired spasticity (AS) underwent 30 THAs for treatment of hip arthritis. They were followed for an average 2.5 years (range 2.1-12.1). Patients with CP were more likely to require hip adductor release and hip flexor lengthening at the time of THA. Statistically significant improvements were made in Harris Hip Scores, pain scores, range of motion, ambulatory status, and the use ambulatory-assistive devices. There were no dislocations in this group. Patients with spasticity can benefit from THA in terms of pain relief and improved mobility with relatively low complications.
authors.affiliation: Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Hassan
authors.initials: H
authors.lastname: Alosh
authors.affiliation: Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Atul F
authors.initials: AF
authors.lastname: Kamath
authors.affiliation: Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Keith D
authors.initials: KD
authors.lastname: Baldwin
authors.affiliation: Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: MaryAnn
authors.initials: M
authors.lastname: Keenan
authors.affiliation: Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Gwo-Chin
authors.initials: GC
authors.lastname: Lee
mesh_terms: D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D001930:Brain Injuries / Q000150:complications; D002547:Cerebral Palsy / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016472:Motor Neuron Disease / Q000150:complications*; D009128:Muscle Spasticity / Q000150:complications*; D015207:Osteoarthritis, Hip / Q000150:complications* / Q000601:surgery*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: cerebral palsy; spasticity; total hip arthroplasty; upper motor neuron disease