Abstract
Bilateral hip reconstruction improve hip stability, pelvic balance and mobility function in children with cerebral palsy
Highlights
The risk of hip displacement in cerebral palsy varies from 0% to 64% according to CP subtype and GMFCS level
This study aims to report the outcome of bilateral hip reconstruction with varus derotation and shortening of the prox-imal femur with or without Dega pelvic osteotomy in correcting hip displacement, pelvic obliquity and improving mo-bility function of children with spastic diplegia and quadriplegia
To evaluate the effectiveness of correcting hip displacement, we defined the success of hip coverage as a migration percentage less than 33% [16]
Summary
The risk of hip displacement in cerebral palsy varies from 0% to 64% according to CP subtype and GMFCS level. Pa-tients with spastic quadriplegia or in GMFCS level V are at the highest risk [1]. Soft tissues release can prevent progression of hip displacement when there is no bony deformi-ty, but bone reconstructive surgery can effectively correct most of hip displacement, improve hip function and relieve pain in long term outcome [7,8]. Bilateral hip reconstructive surgery for hip displacement of children with cerebral palsy still be contro-versial. The objective of this study to report the outcome of bilateral hip surgery with varus derotation and shortening of the proximal femur and Dega pelvic osteotomy in radiography and mobility function of children with spastic diplegia and quadriplegia
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