Ortopedia, traumatologia, rehabilitacja · 2011
Effectiveness of two methods of treatment of the spastic hip in CP children.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Piasek Rafał, Snela Sławomir, Rydzak Bogusław
Аннотация
BACKGROUND: Authors analysed the post-operative course of the hip joints in ICP children following two types of surgery.
MATERIAL AND METHODS: We analysed 50 children with CP (100 hips) treated in our department between 1999-2004 whose radiological records were complete. The children were divided into 2 groups of those following open adductor tenotomy and those treated according to Gob's method, i.e. by release of the flexion-adduction hip contracture. Hip joint stability was compared radiologically with the Reimers index. Consecutive radiographs were obtained at least 6 months apart and at least two radiographs were obtained in each patient.
RESULTS: In the first group, the Reimers index improved in 56 hips (70%), deteriorated in 14 hips (17.5%), and did not change in 10 hips (12.5%). In the second group, the index improved in 6 hips (30%), deteriorated in 4 hips (20%), and did not change in 10 hips (50%).
CONCLUSIONS: 1. Open adductor tenotomy may be an effective treatment for hip joint instability in cerebrally palsied children. 2. Continual monitoring of the Reimers index is a prerequisite for predicting the natural history of the spastic hip.
MATERIAL AND METHODS: We analysed 50 children with CP (100 hips) treated in our department between 1999-2004 whose radiological records were complete. The children were divided into 2 groups of those following open adductor tenotomy and those treated according to Gob's method, i.e. by release of the flexion-adduction hip contracture. Hip joint stability was compared radiologically with the Reimers index. Consecutive radiographs were obtained at least 6 months apart and at least two radiographs were obtained in each patient.
RESULTS: In the first group, the Reimers index improved in 56 hips (70%), deteriorated in 14 hips (17.5%), and did not change in 10 hips (12.5%). In the second group, the index improved in 6 hips (30%), deteriorated in 4 hips (20%), and did not change in 10 hips (50%).
CONCLUSIONS: 1. Open adductor tenotomy may be an effective treatment for hip joint instability in cerebrally palsied children. 2. Continual monitoring of the Reimers index is a prerequisite for predicting the natural history of the spastic hip.