J E Robb1, G Hägglund2. 1. School of Medicine, University of St Andrews, St Andrews, KY16 9TF Scotland, UK. 2. Department of Orthopaedics, University Hospital, SE-221 85 Lund, Sweden.
Abstract
INTRODUCTION: This article provides an overview of the management of a displaced hip in children with cerebral palsy and considers surveillance programmes, principles of surgical reconstruction and options for the salvage of an unreconstructable hip in these children. CONCLUSION: Hip dislocation in CP is potentially preventable if children are included from an early age in a surveillance programme that includes repeat radiographic and clinical examinations, and preventive treatment for hips that are displacing. A surveillance programme should be based on the child's age, GMFCS level and migration percentage (MP), and surgical prevention may be considered in children with a MP exceeding 33 %.
INTRODUCTION: This article provides an overview of the management of a displaced hip in children with cerebral palsy and considers surveillance programmes, principles of surgical reconstruction and options for the salvage of an unreconstructable hip in these children. CONCLUSION:Hip dislocation in CP is potentially preventable if children are included from an early age in a surveillance programme that includes repeat radiographic and clinical examinations, and preventive treatment for hips that are displacing. A surveillance programme should be based on the child's age, GMFCS level and migration percentage (MP), and surgical prevention may be considered in children with a MP exceeding 33 %.
Entities:
Keywords:
Cerebral palsy; Child; Hip displacement; Operative management; Surveillance programme
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