Abstract
Neuromuscular hip dysplasia is a disorder of the hip joint caused by abnormal pull of spastic hip flexor and adductor muscles. It is common in children with cerebral palsy, and the incidence and severity increases with increasing neurologic involvement. Goals of management include maintaining a mobile painless located hip. The varus derotational osteotomy and volume-reducing pelvic osteotomy are the workhorses of reconstruction of this disorder. This chapter describes the technique of management of the reconstructible neuromuscular hip with blade plate fixation.
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References
Robin J, Graham HK, Selber P, Dobson F, Smith K, Baker R. Proximal femoral geometry in cerebral palsy: a population-based cross-sectional study. J Bone Joint Surg Br. 2008;90(10):1372–9.
Lonstein JE, Beck K. Hip dislocation and subluxation in cerebral palsy. J Pediatr Orthop. 1986;6(5):521–6.
Reimers J. The stability of the hip in children. A radiological study of the results of muscle surgery in cerebral palsy. Acta Orthop Scand Suppl. 1980;184:1–100.
Bagg MR, Farber J, Miller F. Long-term follow-up of hip subluxation in cerebral palsy patients. J Pediatr Orthop. 1993;13(1):32–6.
Gage JR. The treatment of gait problems in cerebral palsy. London: Mac Keith/Distributed by Cambridge University Press; 2004.
de Morais Filho MC, Kawamura CM, dos Santos CA, Mattar Jr R. Outcomes of correction of internal hip rotation in patients with spastic cerebral palsy using proximal femoral osteotomy. Gait Posture. 2012;36(2):201–4.
Ounpuu S, DeLuca P, Davis R, Romness M. Long-term effects of femoral derotation osteotomies: an evaluation using three-dimensional gait analysis. J Pediatr Orthop. 2002;22(2):139–45.
Kim H, Aiona M, Sussman M. Recurrence after femoral derotational osteotomy in cerebral palsy. J Pediatr Orthop. 2005;25(6):739–43.
Dreher T, Wolf S, Braatz F, Patikas D, Doderlein L. Internal rotation gait in spastic diplegia–critical considerations for the femoral derotation osteotomy. Gait Posture. 2007;26(1):25–31.
Davids JR, Benfanti P, Blackhurst DW, Allen BL. Assessment of femoral anteversion in children with cerebral palsy: accuracy of the trochanteric prominence angle test. J Pediatr Orthop. 2002;22(2):173–8.
Mazur JM, Danko AM, Standard SC, Loveless EA, Cummings RJ. Remodeling of the proximal femur after varus osteotomy in children with cerebral palsy. Dev Med Child Neurol. 2004;46(6):412–5.
Huh K, Rethlefsen SA, Wren TA, Kay RM. Surgical management of hip subluxation and dislocation in children with cerebral palsy: isolated VDRO or combined surgery? J Pediatr Orthop. 2011;31(8):858–63.
McNerney NP, Mubarak SJ, Wenger DR. One-stage correction of the dysplastic hip in cerebral palsy with the San Diego acetabuloplasty: results and complications in 104 hips. J Pediatr Orthop. 2000;20(1):93–103.
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Baldwin, K., Spiegel, D. (2015). Surgical Technique: Reconstruction with a Proximal Varus Derotational Osteotomy with Blade Plate Fixation and a Volume Reducing Pelvic Osteotomy for Neuromuscular Hip Dysplasia. In: Nho, S., Leunig, M., Larson, C., Bedi, A., Kelly, B. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6965-0_44
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DOI: https://doi.org/10.1007/978-1-4614-6965-0_44
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Publisher Name: Springer, New York, NY
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Online ISBN: 978-1-4614-6965-0
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