Document Detail


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
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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:  2013-06-02    
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
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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


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