| Long-term results of hip arthroplasty in ambulatory patients with cerebral palsy. | |
| | |
MedLine Citation:
|
PMID: 19387644 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Osteoarthritis (OA) secondary to dislocation and dysplasia is a common problem in patients with cerebral palsy. The purpose of this study was to evaluate the results of total hip replacement (THR) in ambulatory patients with cerebral palsy. Eighteen total hip arthroplasties were performed in 16 ambulatory patients with cerebral palsy. The patient's mean age at surgery was 42 +/- 8 years (range 32-58 years), and the mean follow-up was 10 +/- 6 years (range 2-18 years). Data were obtained by a standardised telephone interview. There was a significant postoperative reduction in pain on the NAS (narrative analogue scale) from 8.4 preoperatively to 1.1 postoperatively (p = 0.002). At follow-up no stem had been revised. Three cups were revised for aseptic loosening at two and six years, and one cup was revised for recurrent dislocation of the hip. One hip was revised for infection 12 years after the index surgery. One hip dislocated (three months postoperatively) and was treated by closed reduction. In ambulatory patients with cerebral palsy and secondary osteoarthritis of the hip THR can provide long-term pain relief and improved function. The rate of long term complications was moderate in this series; however, the dislocation rate was higher than in standard OA cases. |
| | |
Authors:
|
Kerstin Schroeder; Christian Hauck; Bernd Wiedenhöfer; Frank Braatz; Peter R Aldinger |
Related Documents
:
|
12658884 - Scheduling of elective surgical cases within allocated block-times: can the future be d... 17597684 - The prognostic value of quality of life parameters in patients recovering from osteopor... 19557424 - Cocktail therapy for femoral head necrosis of the hip. 3056944 - Occult spinal dysraphism in established congenital dislocation of the hip. 3324634 - Multicentre clinical trial of authentic recombinant somatropin in growth hormone defici... 9624344 - Lateral closing wedge supracondylar osteotomy of humerus for post-traumatic cubitus var... |
Publication Detail:
|
Type: Journal Article Date: 2009-04-22 |
Journal Detail:
|
Title: International orthopaedics Volume: 34 ISSN: 1432-5195 ISO Abbreviation: Int Orthop Publication Date: 2010 Mar |
Date Detail:
|
Created Date: 2010-03-03 Completed Date: 2010-05-27 Revised Date: 2011-07-25 |
Medline Journal Info:
|
Nlm Unique ID: 7705431 Medline TA: Int Orthop Country: Germany |
Other Details:
|
Languages: eng Pagination: 335-9 Citation Subset: IM |
Affiliation:
|
Orthopaedic University Hospital, University of Heidelberg, Heidelberg, Germany. kerstin.schroeder@ok.uni-heidelberg.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Arthroplasty, Replacement, Hip / methods*, rehabilitation Cerebral Palsy / complications, physiopathology, surgery* Female Hip Dislocation / etiology Hip Prosthesis Humans Interviews as Topic Male Middle Aged Osteoarthritis, Hip / etiology, physiopathology, surgery* Pain Measurement Postoperative Complications Prosthesis Failure Range of Motion, Articular Recovery of Function Reoperation Time Factors Treatment Outcome |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: In vivo knee kinematics during high flexion after a posterior-substituting total knee arthroplasty.
Next Document: No Article Title