title: Percutaneous Adductor Release in Nonambulant Children with Cerebral Palsy.
abstract: BACKGROUND
  Adductor spasticity at hips is the main barrier in functional activities and rehabilitation of spastic cerebral palsy patients. The aim of this study is to evaluate the results of percutaneous adductor release under general anaesthesia.
  
  
  METHODS
  From July 2005 to July 2010, 64 hips in 32 patients (19 males and 13 females) were recruited from outpatient department having adductor contracture at hips in cerebral palsy children. All children were operated under general anaesthesia. All children were followed for twenty-four months. The clinical results were evaluated radiologically, including measurement of CE- angle, AC-index and femoral head coverage and in terms of activity level of children.
  
  
  RESULTS
  Of the thirty-two children, twenty-eight showed marked and immediate improvement. None of our children was functionally worse at follow-up. The CE-angle and femoral head coverage did not change significantly. The AC-index improved significantly (P = 0.01).The results were excellent in 12.5% children, good in 50%, fair in 25% and poor in 12.5%.
  
  
  CONCLUSIONS
  Bilateral mini-invasive adductor release can be an effective treatment for children suffering from adductor contracture refractory to nonoperative management and early adductor release can prevent subluxation and possibly the need for future bony procedure on the proximal femur and pelvis.
authors.affiliation: SMS & RI Sharda University, Uttar Pradesh, India.
authors.forename: Ramji Lal
authors.initials: RL
authors.lastname: Sahu
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006616:Hip Contracture / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D051346:Mobility Limitation; D018482:Muscle, Skeletal / Q000601:surgery*; D011446:Prospective Studies; D013848:Thigh / Q000601:surgery*; D016896:Treatment Outcome
keywords: adductor contracture; cerebral palsy; minimal invasive procedure; percutaneous.