| Adductor tenotomies in children with quadriplegic cerebral palsy: longer term follow-up. | |
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MedLine Citation:
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PMID: 10823607 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Adductor tenotomy procedures for prophylaxis against severe hip subluxation in children with quadriplegic cerebral palsy have reported good to excellent success rates; however, the overall follow-up has been short. In a retrospective review designed to obtain longer term follow-up of adductor tenotomies in these children, we found that 58% of our patients had continued subluxation or dislocation with the eventual need for further surgery. These results differ significantly from those of previous studies. There was a trend among the patients who did well to have less preoperative subluxation than those who needed further intervention, but we did not find a statistically significant cut-off value that was predictive of success or failure. Age at the time of surgery also did not influence the outcome in our patient population. An 8-year average follow-up of adductor tenotomies showed a higher loss of hip stability than previous mid range follow-up studies. |
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Authors:
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R J Turker; R Lee |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric orthopedics Volume: 20 ISSN: 0271-6798 ISO Abbreviation: J Pediatr Orthop Publication Date: 2000 May-Jun |
Date Detail:
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Created Date: 2000-08-15 Completed Date: 2000-08-15 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8109053 Medline TA: J Pediatr Orthop Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 370-4 Citation Subset: IM |
Affiliation:
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Carrie Tingley Hospital/University of New Mexico, Albuquerque, USA. Turker@ohsu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerebral Palsy
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complications* Child Child, Preschool Female Hip Dislocation / etiology, prevention & control* Humans Male Quadriplegia / complications* Retrospective Studies Tendons / surgery* |
| Comments/Corrections | |
Comment In:
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J Pediatr Orthop. 2001 Nov-Dec;21(6):826-7
[PMID:
11675565
]
J Pediatr Orthop. 2001 Jan-Feb;21(1):136-7 [PMID: 11176372 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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