FACTORS INFLUENCING THE FORMATION OF THE PROXIMAL FEMUR IN PATIENTS WITH CEREBRAL PALSY.

Abstract

The aim: Establishment of the factors influencing the formation of femoral neck-shaft angles and femoral torsions indices among the patients with cerebral palsy. Materials and methods: The total number of patients was 46 persons (84 joints). We have examined patients using our method (patent №137567), obtained the true parameters of the femoral neck-shaft angle and femoral torsion, and conducted a statistical analysis of factors that might influence their formation. Results: A statistically significant influence of factors of age, Gross Motor Function Classification System (GMFCS) level, ambulatory status, adductor myotomy and lack of statistical significance concerning the influence of factors such as level of lesion and developmental dysplasia of the hip upon the indices of neck-shaft angle. Femoral torsion's parameters were in statistically significant fashion affected by GMFCS levels, ambulatory status, level of lesion, and did not display statistical significance of factors of age, adductor myotomy, developmental dysplasia of the hip. Conclusions: Our research shows that gait function, as well as GMFCS level, are the important factors in the formation of the proximal femur in patients with cerebral palsy.