We performed a combined one-stage approach for the treatment of 18 spastic subluxated or dislocated hips in 11 children who had cerebral palsy. All patients were between 5 and 13 years old and had spastic subluxation or dislocation of the hip and severe acetabular dysplasia. The operation consisted of release of the adductors, psoas, and proximal hamstrings; a femoral-shortening varusderotation osteotomy; and a pericapsular pelvic osteotomy. The pelvic osteotomy was designed to increase superolateral coverage of the femoral head in the elongated acetabulum, which had erosion of the superior and lateral aspects. At the latest follow-up (mean duration, 6 years and 10 months), 17 of the 18 hips remained anatomically reduced.
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We performed a combined one-stage approach for the treatment of 18 spastic subluxated or dislocated hips in 11 children who had cerebral palsy. All patients were between 5 and 13 years old and had spastic subluxation or dislocation of the hip and severe acetabular dysplasia. The operation consisted of release of the adductors, psoas, and proximal hamstrings; a femoral-shortening varusderotation osteotomy; and a pericapsular pelvic osteotomy. The pelvic osteotomy was designed to increase superolateral coverage of the femoral head in the elongated acetabulum, which had erosion of the superior and lateral aspects. At the latest follow-up (mean duration, 6 years and 10 months), 17 of the 18 hips remained anatomically reduced.
Copyright remains with the authors and publisher.