Wang Yuhuan,Wang Jiakuan,Li Jun,et al. Efficacies of capital femoral epiphysiodesis in early intervention for hip dysplasia of spastic cerebral palsy.[J].Journal of Clinical Pediatric Surgery,,17():917-921.
Efficacies of capital femoral epiphysiodesis in early intervention for hip dysplasia of spastic cerebral palsy.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 12
Page:
917-921
Column:
论著
Date of publication:
2018-12-18
- Keywords:
- ; Cerebral Palsy; Hip Dysplasia; Capital Femoral Epiphyses; Surgical Procedures; Operative
- Document code:
- A
- Abstract:
- ObjectiveTo explore the clinical efficacies of capital femoral epiphysiodesis in early intervention for hip dysplasia of spastic cerebral palsy.MethodsA total of 37 children with 59 hips dysplasia of spastic cerebral palsy treated between June 2014 to September 2016 were recruited.The observation group underwent capital femoral epiphysiodesis while those without surgical intervention were selected as control group.The efficacies were evaluated by migrarion percentage (MP) and neckshaft angle (NSA) before intervention,half a year and one year after intervention.ResultsNine cases with 12 hips belonged to observation group while 28 cases with 47 hips control group.No statistically significant intergroup differences existed in general profiles (P>0.05).There were no intergroup statistical differences in MP value before intervention (P>0.05).The differences of MP value were statistically significant between observation and control groups at half a year or one year after intervention (P<0.05).After one year or half a year,MP value decreased than before intervention and the difference was statistically significant (P<0.05).No significant difference existed in MP value of control group at half a year and one year after intervention (P>0.05).There were no statistical intergroup differences of NSA value before intervention (P>0.05).The NSA values of observation group half one year or one year after intervention decreased than those in control group.And the difference was statistically significant (P<0.05).The NSA values of two groups half one year or one year after intervention were lower than those before intervention.And there were significant differences (P<0.05).ConclusionCapital femoral epiphysiodesis is miniinvasive and efficacious for hip dysplasia of spastic cerebral palsy early.It is simple in handling and there are fewer complications.It can effectively decrease the degree of lateral dislocation of femoral head and reduce the risk of hip dislocation.The method was worthy of wider clinical applications.
Last Update:
2018-12-18