Abstract
Treatment of the subluxated or dislocated hip in a spastic patient is still controversial, though the untreated hip dislocation has a poor natural history. Goals of treatment are to relieve pain and to improve care and function. Our preferred treatment is the McHale osteotomy which combines femoral head and neck resection with adductor release and proximal femoral valgus osteotomy with internal fixation. This is a one-stage operation that meets the goals of surgery and improves the biomechanics of the hips.
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References
Cooperman DR, Bartucci E, Dietirck E, Millar EA. Hip dislocation in spastic cerebral palsy; long term consequences. J Paediatr Orthop. 1987;7:268–76.
Castle ME, Schneider C. Proximal femoral resection interposition arthroplasty. J Bone Joint Surg Am. 1978;60:1051–4.
Samilson R, Tsou P, Aamof G, Greeen W. Dislocation and subluxation of the hip in cerebral palsy. J Bone Joint Surg Am. 1972;54A:863–73.
McHale KA, Bagg M, Nasson SS. Treatment of the chronically dislocated hip in adolescents with cerebral palsy with femoral head resection and subtrochanteric valgus osteotomy. J Paediatr Orthop. 1990;10:504–9.
McCarthy RE, Simon S, Douglas B, Zawacki R, Reese N. Proximal femoral resection to allow adults who have severe cerebral palsy to sit. J Bone Joint Surg Am. 1988;70:1011–16.
Perlmutter M, Synder M, Miller F, Bisbal R. Proximal femoral resection for older children with spastic hip disease. Dev Med Child Neurol. 1993;35:525–31.
Root L, Goss J, Mendes J. The treatment of the painful hip in cerebral palsy by total hip replacement or hip arthrodesis. J Bone Joint Surg Am. 1986;68:590–8.
Additional Reference
Barrie JL, Galasko CSB. Surgery for unstable hips in cerebral palsy. J Paediatr Orthop. 1996;5(Part B 4):225–31.
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Ackman, J. (2015). Surgical Technique: Resection Arthroplasty. 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_45
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DOI: https://doi.org/10.1007/978-1-4614-6965-0_45
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