Li Yu,Kang Liehe,Zhu Guanghui,et al.Surgical treatments and outcome evaluations of hip disease in children with cerebral palsy[J].Journal of Clinical Pediatric Surgery,,21():505-509.[doi:10.3760/cma.j.cn101785-202106042-002]
Surgical treatments and outcome evaluations of hip disease in children with cerebral palsy
- Keywords:
- Cerebral Palsy/SU; Hip Joint/AB; Orthopedic Procedures; Osteotomy; Arthroplasty; Replacement; Hip; Treatment Outcome; Child
- Abstract:
- Children with cerebral palsy hip disease generally require surgical interventions, including preventive, reconstructive and salvage surgery.The operative goals are to prevent lateral displacement of femoral head, reconstruct the stabilities of subluxation and dislocated hip joint, eliminate persistent pain caused by irreducible hip joint dislocation and then improve walking function so as to facilitate perineal nursing of children without standing and walking ability.By systematically reviewing the latest relevant literature, this review focused upon the indications, operative essentials, clinical and radiological findings and long-term follow-ups of various surgical approaches for cerebral palsy hip diseases in children.
References:
[1] Flynn JM, Miller F.Management of hip disorders in patients with cerebral palsy[J].J Am Acad Orthop Surg, 2002, 10(3):198-209.DOI:10.5435/00124635-200205000-00006.
[2] Shore BJ, Zurakowski D, Dufreny C, et al.Proximal femoral varus derotation osteotomy in children with cerebral palsy:the effect of age, gross motor function classification system level, and surgeon volume on surgical success[J].J Bone Joint Surg Am, 2015, 97(24):2024-2031.DOI:10.2106/JBJS.O.00505.
[3] Shaw KA, Hire JM, Cearley DM.Salvage treatment options for painful hip dislocations in nonambulatory cerebral palsy patients[J].J Am Acad Orthop Surg, 2020, 28(9):363-375.DOI:10.5435/JAAOS-D-19-00349.
[4] 王玉欢, 王加宽, 李俊, 等.股骨头骨骺阻滞术早期干预痉挛性脑瘫髋关节发育不良的疗效分析[J].临床小儿外科杂志, 2018, 17(12):917-921.DOI:10.3969/j.issn.1671-6353.2018.12.009.Wang YH, Wang JK, Li J, et al.Efficacies of capital femoral epiphysiodesis in early intervention for hip dysplasia of spastic cerebral palsy[J].J Clin Ped Sur, 2018, 17(12):917-921.DOI:10.3969/j.issn.1671-6353.2018.12.009.
[5] Presedo A, Oh CW, Dabney KW, et al.Soft-tissue releases to treat spastic hip subluxation in children with cerebral palsy[J].J Bone Joint Surg Am, 2005, 87(4):832-841.DOI:10.2106/JBJS.C.01099.
[6] Kiapekos N, Brostr m E, H?gglund G, et al.Primary surgery to prevent hip dislocation in children with cerebral palsy in Sweden:a minimum 5-year follow-up by the national surveillance program (CPUP)[J].Acta Orthop, 2019, 90(5):495-500.DOI:10.1080/17453674.2019.1627116.
[7] Terjesen T.Femoral and pelvic osteotomies for severe hip displacement in nonambulatory children with cerebral palsy:a prospective population-based study of 31 patients with 7 years’ follow-up[J].Acta Orthop, 2019, 90(6):614-621.DOI:10.1080/17453674.2019.1675928.
[8] Al-Ghadir M, Masquijo JJ, Guerra LA, et al.Combined femoral and pelvic osteotomies versus femoral osteotomy alone in the treatment of hip dysplasia in children with cerebral palsy[J].J Pediatr Orthop, 2009, 29(7):779-783.DOI:10.1097/BPO.0b013e3181b76968.
[9] Chang FM, May A, Faulk LW, et al.Outcomes of isolated varus derotational osteotomy in children with cerebral palsy hip dysplasia and predictors of resubluxation[J].J Pediatr Orthop, 2018, 38(5):274-278.DOI:10.1097/BPO.0000000000000809.
[10] Braatz F, Staude D, Klotz MC, et al.Hip-joint congruity after dega osteotomy in patients with cerebral palsy:long-term results[J].Int Orthop, 2016, 40(8):1663-1668.DOI:10.1007/s00264-015-3013-2.
[11] Alassaf N, Saran N, Benaroch T, et al.Combined pelvic and femoral reconstruction in children with cerebral palsy[J].J Int Med Res, 2018, 46(1):475-484.DOI:10.1177/0300060517723797.
[12] Castle ME, Schneider C.Proximal femoral resection-interposition arthroplasty[J].J Bone Joint Surg Am, 1978, 60(8):1051-1054.
[13] Muthusamy K, Chu HY, Friesen RM, et al.Femoral head resection as a salvage procedure for the severely dysplastic hip in nonambulatory children with cerebral palsy[J].J Pediatr Orthop, 2008, 28(8):884-889.DOI:10.1097/BPO.0b013e31818e8569.
[14] Schejbalova A, Havlas V, Trc T.Irreducible dislocation of the hip in cerebral palsy patients treated by Schanz proximal femoral valgus osteotomy[J].Int Orthop, 2009, 33(6):1713-1717.DOI:10.1007/s00264-008-0676-y.
[15] Hwang JH, Varte L, Kim HW, et al.Salvage procedures for the painful chronically dislocated hip in cerebral palsy[J].Bone Joint J, 2016, 98-B(1):137-143.DOI:10.1302/0301-620X.98B1.35202.
[16] McCarthy RE, Simon S, Douglas B, et al.Proximal femoral resection to allow adults who have severe cerebral palsy to sit[J].J Bone Joint Surg Am, 1988, 70(7):1011-1016.
[17] McHale KA, Bagg M, Nason SS.Treatment of the chronically dislocated hip in adolescents with cerebral palsy with femoral head resection and subtrochanteric valgus osteotomy[J].J Pediatr Orthop, 1990, 10(4):504-509.
[18] Varni JW, Burwinkle TM, Sherman SA, et al.Health-related quality of life of children and adolescents with cerebral palsy:hearing the voices of the children[J].Dev Med Child Neurol, 2005, 47(9):592-597.
[19] Houdek MT, Watts CD, Wyles CC, et al.Total hip arthroplasty in patients with cerebral palsy:a cohort study matched to patients with osteoarthritis[J].J Bone Joint Surg Am, 2017, 99(6):488-493.DOI:10.2106/JBJS.16.00528.
[20] Gabos PG, Miller F, Galban MA, et al.Prosthetic interposition arthroplasty for the palliative treatment of end-stage spastic hip disease in nonambulatory patients with cerebral palsy[J].J Pediatr Orthop, 1999, 19(6):796-804.
[21] Silverio AL, Nguyen SV, Schlechter JA, et al.Proximal femur prosthetic interposition arthroplasty for painful dislocated hips in children with cerebral palsy[J].J Child Orthop, 2016, 10(6):657-664.DOI:10.1007/s11832-016-0775-z.
Memo
收稿日期:2021-06-16。
基金项目:湖南省卫生健康委资助性课题(202104071292)
通讯作者:朱光辉,Email:zgh5650@163.com