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
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
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
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
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
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 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
When
We describe a patient with
We carried out a morphometric analysis of the acetabulum following Dega osteotomy in patients with
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
We reviewed the outcome in 24 children with bilateral spastic
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
We assessed the medium-term outcome of three methods of isolated calf lengthening in
A total of 47 non-walking patients (52 hips) with severe
We treated 22 children (28 limbs) with diplegic
Our aim in this retrospective study was to analyse the value of serial corrective casts in the management of toe-walking in children aged less than six years with
Transfer of flexor carpi ulnaris combined with selective release of the flexor pronator origin was undertaken in 35 patients with hemiplegic
Aims. The purpose of this study was to evaluate the long-term outcome
of adolescents with
We investigated the incidence and risk factors
for the development of avascular necrosis (AVN) of the femoral head in
the course of treatment of children with
Proximal femoral resection (PFR) is a proven
pain-relieving procedure for the management of patients with severe cerebral
palsy and a painful displaced hip. Previous authors have recommended
post-operative traction or immobilisation to prevent a recurrence
of pain due to proximal migration of the femoral stump. We present
a series of 79 PFRs in 63 patients, age 14.7 years (10 to 26; 35
male, 28 female), none of whom had post-operative traction or immobilisation. A total of 71 hips (89.6%) were reported to be pain free or to
have mild pain following surgery. Four children underwent further
resection for persistent pain; of these, three had successful resolution
of pain and one had no benefit. A total of 16 hips (20.2%) showed
radiographic evidence of heterotopic ossification, all of which
had formed within one year of surgery. Four patients had a wound
infection, one of which needed debridement; all recovered fully.
A total of 59 patients (94%) reported improvements in seating and
hygiene. The results are as good as or better than the historical results
of using traction or immobilisation. We recommend that following
PFR, children can be managed without traction or immobilisation,
and can be discharged earlier and with fewer complications. However,
care should be taken with severely dystonic patients, in whom more
extensive femoral resection should be considered in combination
with management of the increased tone. Cite this article:
The recognition of hips at risk of displacement
in children with
Of 23 children (35 feet) with
Traction injury to the sciatic nerve can occur during hamstring lengthening. The aim of this study was to monitor the influence of hamstring lengthening on conduction in the sciatic nerve using evoked electromyography (EMG). Ten children with spastic
There were 22 patients with
Children with spinal dysraphism can develop various musculoskeletal deformities, necessitating a range of orthopaedic interventions, causing significant morbidity, and making considerable demands on resources. This systematic review aimed to identify what outcome measures have been reported in the literature for children with spinal dysraphism who undergo orthopaedic interventions involving the lower limbs. A PROSPERO-registered systematic literature review was performed following PRISMA guidelines. All relevant studies published until January 2023 were identified. Individual outcomes and outcome measurement tools were extracted verbatim. The measurement tools were assessed for reliability and validity, and all outcomes were grouped according to the Outcome Measures Recommended for use in Randomized Clinical Trials (OMERACT) filters.Aims
Methods
We treated 20 children (40 limbs) with diplegic
Reimers’ hip migration percentage is commonly used to document the extent of subluxation of the hip in children with spasticity. In this study, two measurers, with six months paediatric orthopaedic experience, measured the migration percentage on 44 pelvic radiographs of children with
We aimed to determine hip-related quality of life and clinical findings following treatment for neonatal hip instability (NHI) compared with age- and sex-matched controls. We hypothesized that NHI would predispose to hip discomfort in long-term follow-up. We invited those born between 1995 and 2001 who were treated for NHI at our hospital to participate in this population-based study. We included those that had Von Rosen-like splinting treatment started before one month of age. A total of 96 patients treated for NHI (75.6 %) were enrolled. A further 94 age- and sex-matched controls were also recruited. The Copenhagen Hip and Groin Outcome Score (HAGOS) questionnaire was completed separately for both hips, and a physical examination was performed.Aims
Methods
To analyze outcomes reported in trials of childhood fractures. OVID MEDLINE, Embase, and Cochrane CENTRAL databases were searched on the eighth August 2019. A manual search of trial registries, bibliographic review and internet search was used to identify additional studies. 11,476 studies were screened following PRISMA guidelines. 100 trials were included in the analysis. Data extraction was completed by two researchers for each trial. Study quality was not evaluated. Outcomes reported by trials were mapped onto domains in the World Health Organization (WHO) International Classification of Function framework.Aims
Methods