[Bilateral hip dislocation in cerebral palsy children: conservative therapy of the less affected hip and adductor tenotomy of the opposite hip.]

[Bilateral hip dislocation in cerebral palsy children: conservative therapy of the less affected hip and adductor tenotomy of the opposite hip.] Research Abstract Details 

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[Bilateral hip dislocation in cerebral palsy children: conservative therapy of the less affected hip and adductor tenotomy of the opposite hip.] Abstract Text:

B Rolauffs,C Bahrs,G B Ochs,M Aurich,K Weise,F Stuby,B Rolauffs,C Bahrs,G B Ochs,M Aurich,K Weise,F Stuby,

AIM: In cerebral palsy children with bilateral hip dislocation, a new therapeutic concept was established that treated the less affected hip conservatively and the more affected hip simultaneously with an adductor tenotomy. The current study assessed whether the clinical and radiological outcome was equal to that of established bilateral surgical treatments. We also examined whether this approach leads to an adequate motor function improvement of the affected children. METHOD: In 41 children with cerebral palsy and bilateral hip dislocation, a prospective study assessed the hip abduction, migration percentage (MP) and the motor function (Rancho los Amigos scale). Depending on the pretherapeutic status, all patients were grouped into 3 abduction and 3 MP groups. The less affected hip was treated with a hip abduction splint whereas the more affected hip of the same child was simultaneously treated with a subcutaneous adductor tenotomy. All patients were assessed annually for 4 years. RESULTS: The hip abduction of the conservatively treated hips was pretherapeutically 41.8 +/- 2.6 degrees and improved significantly after 1 year. Patients with a pretherapeutic hip abduction

[Bilateral hip dislocation in cerebral palsy children: conservative therapy of the less affected hip and adductor tenotomy of the opposite hip.] Publishing Authors By Initials

B Rolauffs,C Bahrs,GB Ochs,M Aurich,K Weise,F Stuby,B Rolauffs,C Bahrs,GB Ochs,M Aurich,K Weise,F Stuby,

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PUBMED ID PMID:

MEDLINE DATE: 2007 Nov-Dec

[Bilateral hip dislocation in cerebral palsy children: conservative therapy of the less affected hip and adductor tenotomy of the opposite hip.] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Zeitschrift für Orthopädie und Unfallchirurgie

VOLUME: 145

Page Numbers: 782-9

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ISSN: 1864-6697

DAY: 11

MONTH: 12

YEAR: 2007

[Bilateral hip dislocation in cerebral palsy children: conservative therapy of the less affected hip and adductor tenotomy of the opposite hip.] Information

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LANGUAGE: ger

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AFFILIATION: Klinik für Unfall- und Wiederherstellungschirurgie an der Eberhard-Karls-Universität Tübingen, BG-Unfallklinik Tübingen.

Country: Germany

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MEDLINETA: Z Orthop Unfall

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