TWO-STAGE TREATMENT APPROACH TO SEVERE CASES OF HIP INSTABILITY IN PATIENTS WITH INFANTILE CEREBRAL PALSY

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Abstract


Hip instability is a common condition in patients with cerebral palsy. Its development leads to severe degenerative changes in the joint, accompanied with rapidly progressive contractures, pain, deformities of the adjacent segments and decreased limb support ability. One of the characteristic features of this disease is the development of osteochondral defect in the external part of the femoral head epiphysis. We report two clinical cases of successful two-stage surgical correction of joint elements aimed at moving the defect in the joint area, which is not loaded by the arch socket.

Valery Vladimirovich Umnov

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: umnovvv@gmail.com
MD, PhD, DMedSc, head of the department of infantile cerebral palsy

  • Умнов В. В. Детский церебральный паралич. Эффективные способы борьбы с двигательными нарушениями / В. В. Умнов, А. В. Звозиль, Д. В. Умнов, Г. А. Икоева и др. СПб., 2013. 236 с.
  • Садофьева В. И. Рентгенфункциональная диагностика заболеваний опорно-двигательного аппарата у детей / В. И. Садофьева. Л.: Медицина, 1986. 240 с.
  • Al-Ghadir M., Masquijo J.J., Guerra L.A., Willis B. Combined femoral and pelvic osteotomies versus femoral osteotomy alone in the treatment of hip dysplasia in children with cerebral palsy. J. Pediatr. Orthop. 2009 Oct-Nov;29(7):779-83.
  • Knaus A., Terjesen Т. Proximal femoral resection arthroplasty for patients with cerebral palsy and dislocated hips: 20 patients followed for 1-6 years. Acta. Orthop. 2009 Feb;80(1):32-6.
  • Schejbalova A., Havlas H., Trc T. Irreducible dislocation of the hip in cerebral palsy patients treated by Schanz proximal femoral valgus osteotomy. Int. Orthop. 2009 Dec;33(6):1713-7.

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