Our Approach to the Treatment of Spastic hip Subluxation and Dislocation in Children with Cerebral Palsy
Abstract
We evaluated 56 hips in our consecutive patients. There were done soft-tissue release procedures in 42 hips, osseous reconstructive surgery in 11 hips and osseous palliative surgery in 3 hips.
The duration of follow-ups was 1?3 years after surgery. We achieved good result in 15 hips after soft-tissue release, 15 hips had a fair result, 9 a poor result and 3 a failure.
No redislocation was observed. Two patients observed no pain after osseous palliative surgery, transient pain in the hip was in one case.
In all hips the range of motion (abduction) was increased. The personal hygiene and possibilities of rehabilitation were improved.
Childhood is the optimal time to intervene to maximize the function of the patient with cerebral palsy. The musculoskeletal treatment of the child prevents future problems with pain and deformity.
