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- W2332114987 abstract "Hip dislocation is common in children with total body cerebral palsy. It is associated with pain, difficulty in seating and problems with perineal hygiene. We present a retrospective study of 15 patients who had undergone 21 proximal femoral resection-interposition arthroplasties between 1990 and 2005. The mean age at the time of surgery was 16.2 years (range 11-26 years). Mean follow-up was 3.4 years (range 1-7 years). Ninety percent of patients had pain relief. Perineal hygiene and sitting was improved in all cases. A lateral femoral head defect was noted in 90% of hips and was associated with pain, and significant degenerative changes. Twelve hips had heterotopic ossification (11 type-1, one type-2 and 0 type-3). No major complications were seen. We would submit that proximal femoral resection is a good salvage procedure for the painful, dislocated hip, with an excellent chance of resolving symptoms. The finding of a lateral femoral head defect on the radiograph is associated with significant degenerative changes." @default.
- W2332114987 created "2016-06-24" @default.
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- W2332114987 date "2007-05-01" @default.
- W2332114987 modified "2023-09-24" @default.
- W2332114987 title "Proximal femoral resection–interposition arthroplasty in cerebral palsy" @default.
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- W2332114987 doi "https://doi.org/10.1097/bpb.0b013e3280925692" @default.
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