TITLE

Incomplete Transiliac Osteotomy in Skeletally Mature Adolescents with Cerebral Palsy

AUTHOR(S)
Muharrem Inan
PUB. DATE
September 2007
SOURCE
Clinical Orthopaedics & Related Research;Sep2007, Vol. 462 Issue 1, p169
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Incomplete transiliac osteotomy is commonly used in the surgical treatment of spastic hip disease in children with cerebral palsy. The osteotomy hinges through an intact sciatic notch and an open triradiate cartilage. We asked whether incomplete transiliac osteotomy, combined with varus osteotomy of the femur and soft tissue reconstruction, performed after skeletal maturity could improve hip coverage and acetabular shape and provide pain relief in patients with spastic hip disease. We retrospectively evaluated 27 consecutive adolescent patients (33 hips) with cerebral palsy in whom an incomplete transiliac osteotomy was performed after closure of the triradiate cartilage. The mean age at surgery was 15 years. Five hips were dislocated and 28 hips were subluxated preoperatively. The minimum followup was 2 years (mean, 3.3 years; range, 2 years-7.5 years). The subluxated hips had a minimum Reimersʼ migration index of 23% (mean, 52%; range, 23-95%), which was reduced to 0% (mean, 7%; range, 0-39%) at followup. The minimum preoperative Sharpʼs angle was 34° (mean, 52°; range, 34°-70°), which was reduced to 20° (mean, 35°; range, 20°-50°) at followup. A painless hip was achieved in 26 of 33 hips at followup. An incomplete transiliac osteotomy can be performed after skeletal maturity, resulting in a painless and stable hip in the majority of patients.Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
ACCESSION #
26472119

 

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