Aims. The Uppföljningsprogram för cerebral pares (CPUP) Hip Score distinguishes between children with
Aims. The purpose of this study was to compare the prevalence of hip displacement and dislocation in a total population of children with
Aims. Reimers migration percentage (MP) is a key measure to inform decision-making around the management of hip displacement in
Aims. Hip disease is common in children with
Aims. Hip displacement, common in patients with
Aims. To compare changes in gait kinematics and walking speed 24 months after conventional (C-MLS) and minimally invasive (MI-MLS) multilevel surgery for children with diplegic
Aims. A flexed knee gait is common in patients with bilateral spastic
cerebral palsy and occurs with increased age. There is a risk for
the recurrence of a flexed knee gait when treated in childhood,
and the aim of this study was to investigate whether multilevel
procedures might also be undertaken in adulthood. Patients and Methods. At a mean of 22.9 months (standard deviation 12.9), after single
event multi level surgery, 3D gait analysis was undertaken pre-
and post-operatively for 37 adult patients with bilateral cerebral
palsy and a fixed knee gait. Results. There was a significant improvement of indices and clinical and
kinematic parameters including extension of the hip and knee, reduction
of knee flexion at initial contact, reduction of minimum and mean
knee flexion in the stance phase of gait, improved range of movement
of the knee and a reduction of mean flexion of the hip in the stance phase.
Genu recurvatum occurred in two patients (n = 3 legs, 4%) and an
increase of pelvic tilt (>
5°) was found in 12 patients (n = 23
legs, 31%). Conclusion. Adult patients with bilateral
In 1994 a
Aims. The purpose of this study was to assess the reliability and responsiveness to hip surgery of a four-point modified Care and Comfort Hypertonicity Questionnaire (mCCHQ) scoring tool in children with
Aims. Guided growth has been used to treat coxa valga for
Aims. To systematically review the efficacy of split tendon transfer surgery on gait-related outcomes for children and adolescents with
We reviewed the long-term radiological outcome,
complications and revision operations in 19 children with quadriplegic
cerebral palsy and hip dysplasia who underwent combined peri-iliac
osteotomy and femoral varus derotation osteotomy. They had a mean
age of 7.5 years (1.6 to 10.9) and comprised 22 hip dislocations
and subluxations. We also studied the outcome for the contralateral
hip. At a mean follow-up of 11.7 years (10 to 15.1) the Melbourne
cerebral palsy (CP) hip classification was grade 2 in 16 hips, grade
3 in five, and grade 5 in one. There were five complications seen
in four hips (21%, four patients), including one dislocation, one
subluxation, one coxa vara with adduction deformity, one subtrochanteric
fracture and one infection. A recurrent soft-tissue contracture occurred
in five hips and ten required revision surgery. In pre-adolescent children with quadriplegic
We describe 13 patients with
Although equinus gait is the most common abnormality
in children with spastic
Aims. The migration percentage (MP) is one criterion used for surgery in dislocated or displaced hips in children with
There is much debate about the nature and extent of deformities in the proximal femur in children with
In 1994, a register for
We have tested the reliability of a recently reported classification system of hip morphology in adolescents with
In
1. Correction of equinus deformity in
We studied prospectively the impact of a hip surveillance clinic on the management of spastic hip disease in children with
We reviewed the evidence for hip surveillance in children with
Pelvic obliquity is a common finding in adolescents
with
1. Thirteen years of experience in charge of treatment in a Residential School for
This study compares the initial outcomes of minimally invasive techniques for single-event multi-level surgery with conventional single-event multi-level surgery. The minimally invasive techniques included derotation osteotomies using closed corticotomy and fixation with titanium elastic nails and percutaneous lengthening of muscles where possible. A prospective cohort study of two matched groups was undertaken. Ten children with diplegic
We performed rotational acetabular osteotomy in order to treat dysplasia of the hip in five ambulatory adults with
1. Ten children with scoliosis and
In developed countries, children with
We carried out a morphometric analysis of acetabular dysplasia in patients with
The aims of this study were to report functional
outcomes of salvage procedures for patients with
The results of a functional, clinical and radiological study of 30 children (60 hips) with whole-body
Hip displacement, defined in this study as a
migration percentage (MP) of more than 40%, is a common, debilitating complication
of
1. Analysis of the static and dynamic conditions in spastic
When
We describe a patient with
To determine the natural history of dislocation of the hip in
We carried out a morphometric analysis of the acetabulum following Dega osteotomy in patients with
In patients with severe quadriplegic
Operative treatment was performed in nine patients with cervical spondylotic myelopathy complicating athetoid
A percutaneous supramalleolar osteotomy with multiple drill holes and closed osteoclasis was used to correct rotational deformities of the tibia in patients with
Between July 2000 and April 2004, 19 patients with bilateral spastic
We report the results of Vulpius transverse gastrocsoleus
recession for equinus gait in 26 children with
Aims. Single event multilevel surgery (SEMLS) has been shown to improve
gait in children with
Transepiphyseal separation of the neck of the femur following grand mal seizures is described in two children with
We reviewed the outcome in 24 children with bilateral spastic
We have reviewed the cervical spine radiographs of 180 patients with athetoid
Five cases of Kienbock's disease occurring in a group of fifty-three adults with
We have considered the indications for and results of transplanting pronator teres to extensor carpi radialis brevis in
In order to treat painful subluxation or dislocation secondary to
Our aim was to evaluate the effect of adding inhibitory casting to the treatment of young children with