Abstract
We performed selective soft tissue release and Salter osteotomy on 7 children (8 hips) with spastic subluxation and dislocation in cerebral palsy. The mean age at operation was 8.1 years (range: 4 to 11 years). The mean follow-up time was 5.3 years (range: 2.9 to 7.8 years). Three cases had gradually redislocation after renoval of their abductor cast. All hips were in the external rotational position after operation as compared to the internal rotational position before the operation. This position was suspected to have caused the anterior dislocation, and femoral varus-derotation osteotomy was considered necessary for these cases.
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