Recurrence of Hip Instability After Reconstructive Surgery in Patients with Cerebral Palsy

2014 ◽  
Vol 96 (18) ◽  
pp. 1527-1534 ◽  
Author(s):  
Sulis Bayusentono ◽  
Young Choi ◽  
Chin Youb Chung ◽  
Soon-Sun Kwon ◽  
Kyoung Min Lee ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Reconstructive Surgery ◽  
Hip Instability

scholarly journals Early Results of One-Stage Correction for Hip Instability in Cerebral Palsy

2012 ◽  
Vol 4 (2) ◽  
pp. 139 ◽  
Author(s):  
Hui Taek Kim ◽  
Jae Hoon Jang ◽  
Jae Min Ahn ◽  
Jong Seo Lee ◽  
Dong Joon Kang
Keyword(s):  
Cerebral Palsy ◽  
Hip Instability ◽  
One Stage ◽  
Early Results

Early Bony Hip Reconstructive Surgery for Hip Subluxation in Children With Severe Cerebral Palsy

Orthopedics ◽  
2020 ◽  
Author(s):  
Betsey K. Bean ◽  
Glen O. Baird ◽  
Paul M. Caskey ◽  
William B. Bronson ◽  
Mark l. McMulkin ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Reconstructive Surgery

Barriers to Upper Extremity Reconstruction for Patients With Cerebral Palsy

Hand ◽  
2020 ◽  
pp. 155894472097641
Author(s):  
Scott N. Loewenstein ◽  
Francisco Angulo-Parker ◽  
Lava Timsina ◽  
Joshua Adkinson
Keyword(s):  
Cerebral Palsy ◽  
Upper Extremity ◽  
Reconstructive Surgery ◽  
Educational Outreach ◽  
Rehabilitation Services ◽  
Major Barrier ◽  
Referral Criteria ◽  
Extremity Reconstruction ◽  
Strongly Agree ◽  
Surgical Treatments

Background Reconstructive surgery for upper extremity manifestations of cerebral palsy (CP) has been demonstrated to be safe and effective, yet many potential candidates are never evaluated for surgery. The purpose of this study was to determine barriers to upper extremity reconstruction for patients with CP in a cohort of upper extremity surgeons and nonsurgeons. Methods We sent a questionnaire to 4167 surgeons and nonsurgeon physicians, aggregated responses, and analyzed for differences in perceptions regarding surgical efficacy, patient candidacy for surgery, compliance with rehabilitation, remuneration, complexity of care, and physician comfort providing care. Results Surgeons and nonsurgeons did not agree on the literature support of surgical efficacy (73% vs 35% agree or strongly agree, respectively). Both surgeons and nonsurgeons felt that many potential candidates exist, yet there was variability in their confidence in identifying them. Most surgeons (59%) and nonsurgeons (61%) felt comfortable performing surgery and directing the associated rehabilitation, respectively. Neither group reported that patient compliance, access to rehabilitation services, and available financial resources were a major barrier, but surgeons were more likely than nonsurgeons to feel that remuneration for services was inadequate (37% vs 13%). Both groups agreed that surgical treatments are complex and should be performed in the setting of a multidisciplinary team. Conclusions Surgeons and nonsurgeons differ in their views regarding upper extremity reconstructive surgery for CP. Barriers to reconstruction may be addressed by performing higher level research, implementing multispecialty educational outreach, developing objective referral criteria, increasing surgical remuneration, improving access to trained upper extremity surgeons, and implementing multidisciplinary CP clinics.

scholarly journals Radiological Evaluation of Hip in Cerebral Palsy: A Randomized Cross-sectional Study

2017 ◽  
Vol 28 (3) ◽  
pp. 95-99 ◽  
Author(s):  
Sakti Prasad Das ◽  
Pabitrakumar Sahoo ◽  
Mamata M Sahu ◽  
Tajuddin Chitapure
Keyword(s):  
Cerebral Palsy ◽  
Femoral Head ◽  
Cross Sectional Study ◽  
Radiological Evaluation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hip Instability ◽  
Acetabular Angle ◽  
Migration Percentage ◽  
Grade Iii

ABSTRACT Introduction The incidence of hip abnormalities in cerebral palsy (CP) patients has been reported as low as 2.6% and as high as 28%. Hip displacement is the second most common deformity after equines. The objective of this study is to evaluate the radiological changes of hip in CP for detecting early features of hip instability. Materials and methods A total of 91 hips of 52 patients with CP who attended for rehabilitation management were randomly selected for the study. Hip surveillance was done in those cases where the clinical evaluation alone could not access stability. All the selected cases were evaluated radiologically with respect to acetabular angle, neck-shaft angles, degree of subluxation (migration percentage) and shape of femoral head. Results 38 hips showed grade I, 14 hips grade II, 6 hips grade III, and 2 hips grade IV stage of migration percentage. Flattening of femoral head was laterally seen in 16 cases, both medial and lateral flattening was seen in 8 cases of subluxated hip. Acetabular roof angle was increased in cases with grade III and IV migration percentage. Acetabular angle was within 12 to 75° with mean angle of 32°. The mean true neck-shaft angle was 145.5° ranging from 134° to 170° Conclusion Early detection of hip instability in Cerebral Palsy helps in timely intervention and that reduces or delays need for reconstructive surgery. How to cite this article Sahoo PK, Sahu MM, Chitapure T, Das SP. Radiological Evaluation of Hip in Cerebral Palsy: A Randomized Cross-sectional Study. Indian J Phy Med Rehab 2017;28(3):95-99.

Recurrent hip instability after hip reconstruction in cerebral palsy children with spastic hip disease

2021 ◽  
Author(s):  
Brian Po-Jung Chen ◽  
Mutlu Çobanoğlu ◽  
Julieanne P. Sees ◽  
Kenneth J. Rogers ◽  
Freeman Miller
Keyword(s):  
Cerebral Palsy ◽  
Hip Instability ◽  
Hip Reconstruction ◽  
Hip Disease
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