We performed rotational acetabular osteotomy in order to treat dysplasia of the hip in five ambulatory adults 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
1. Ten children with scoliosis and
In developed countries, children with
In 1994 a
We carried out a morphometric analysis of acetabular dysplasia in patients with
The results of a functional, clinical and radiological study of 30 children (60 hips) with whole-body
Aims. Guided growth has been used to treat coxa valga for
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
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
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