The prevalence of hip subluxation and dislocation in cerebral palsy ranges between 3% and 75% in the literature. Clinical signs are rigidity, pain and instability. We assessed functionality, stability and symptoms in 20 patients preoperatively and after follow-up. A varus derotation osteotomy was performed in cases with subluxation or dislocation, while a Chiari osteotomy was performed in the presence of a con- comitant acetabular dysplasia. Results were good in 64%, fair in 22% and poor in 14% of patients treated with a varus derotation osteotomy. In patients treated with a Chiari osteo- tomy, results were good in 43% of cases, fair in 43% and poor in 14%. Subluxated or dislocated hips generally show several anomalies : their severity is directly proportional to the degree of neurological impairment. In the most severe cases, correction of just one of such anomalies might not be sufficient to guarantee good results of the surgery.

Hip subluxation and dislocation in cerebral palsy:outcome of bone surgery in 21 hips / Persiani, Pietro; Molayem, Iakov; Calistri, Alessandro; Rosi, S; Bove, M; Villani, Ciro. - In: ACTA ORTHOPAEDICA BELGICA. - ISSN 0001-6462. - STAMPA. - 74(5):(2008), pp. 609-614. [10.1111/j.1749-6632.1991.tb37865.x]

Hip subluxation and dislocation in cerebral palsy:outcome of bone surgery in 21 hips

PERSIANI, Pietro;MOLAYEM, IAKOV;CALISTRI, ALESSANDRO;VILLANI, Ciro
2008

Abstract

The prevalence of hip subluxation and dislocation in cerebral palsy ranges between 3% and 75% in the literature. Clinical signs are rigidity, pain and instability. We assessed functionality, stability and symptoms in 20 patients preoperatively and after follow-up. A varus derotation osteotomy was performed in cases with subluxation or dislocation, while a Chiari osteotomy was performed in the presence of a con- comitant acetabular dysplasia. Results were good in 64%, fair in 22% and poor in 14% of patients treated with a varus derotation osteotomy. In patients treated with a Chiari osteo- tomy, results were good in 43% of cases, fair in 43% and poor in 14%. Subluxated or dislocated hips generally show several anomalies : their severity is directly proportional to the degree of neurological impairment. In the most severe cases, correction of just one of such anomalies might not be sufficient to guarantee good results of the surgery.
2008
01 Pubblicazione su rivista::01a Articolo in rivista
Hip subluxation and dislocation in cerebral palsy:outcome of bone surgery in 21 hips / Persiani, Pietro; Molayem, Iakov; Calistri, Alessandro; Rosi, S; Bove, M; Villani, Ciro. - In: ACTA ORTHOPAEDICA BELGICA. - ISSN 0001-6462. - STAMPA. - 74(5):(2008), pp. 609-614. [10.1111/j.1749-6632.1991.tb37865.x]
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/229987
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 3
  • ???jsp.display-item.citation.isi??? 2
social impact