Acta Med. 2006, 49: 215-218

Our Approach to the Spastic Hip Subluxation and Dislocation in Children with Cerebral Palsy

Pavel Šponer, David Pellar, Tomáš Kučera, Karel Karpaš

Charles University in Prague, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Department of Orthopaedic Surgery, Hradec Králové, Czech Republic

Received September 1, 2006
Accepted October 1, 2006

The purpose of this study was to evaluate the effectiveness of our approach to the spastic hip subluxation and dislocation in children with cerebral palsy. We evaluated 56 hips in our consecutive patients who had been operated on at our department between January 2003 and December 2005. 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, fifteen hips had a fair result, nine a poor result and three a failure. No redislocation was observed after osseous surgery in our patients. 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.


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