| Irreducible dislocation of the hip in cerebral palsy patients treated by Schanz proximal femoral valgus osteotomy. | |
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MedLine Citation:
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PMID: 18982326 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Palliative Schanz proximal femoral valgus osteotomy is considered a common option for treatment of irreducible hip dislocation in cerebral palsy. From 1992 to 2005, Schanz osteotomy was indicated on 55 occasions in 35 nonambulatory patients with the quadriplegic form of cerebral palsy aged 9-18. Postoperatively, the main emphasis focussed on clinical presentation, improvement of hip range of motion, and pain relief. X-rays were carried out at three, six, and 12 months postoperatively with subsequent average follow up 98 +/- 4.5 months. In all patients, the range of hip abduction and flexion increased. In 54 (98.2%) cases painful symptoms significantly improved. One patient (1.8%) had a subsequent femoral head excision because of persistent hip pain. Transient hip pain persisted in four patients (7.3%). Schanz valgus osteotomy improves the hip range of motion, relieves pain, and facilitates care of the patient. Schanz femoral osteotomy is a less invasive method compared to proximal femoral excision and should preferably be used in older children with neurogenic hip dislocation in whom reconstructive surgery is not indicated. |
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Authors:
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Alena Schejbalova; Vojtech Havlas; Tomas Trc |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-11-04 |
Journal Detail:
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Title: International orthopaedics Volume: 33 ISSN: 1432-5195 ISO Abbreviation: Int Orthop Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-26 Completed Date: 2010-03-02 Revised Date: 2011-03-03 |
Medline Journal Info:
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Nlm Unique ID: 7705431 Medline TA: Int Orthop Country: Germany |
Other Details:
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Languages: eng Pagination: 1713-7 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Charles University Second Medical School, V Uvalu 84, 150 06, Prague 5, Czech Republic. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Arthralgia / surgery Bone Screws Cerebral Palsy / complications* Child Femur Head / surgery Follow-Up Studies Hip Dislocation / etiology*, surgery* Hip Joint / physiopathology, surgery Humans Osteotomy / methods* Range of Motion, Articular / physiology Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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