Result of bilateral total hip replacement in the treatment of a child with cerebral palsy

Abstract

Total hip replacement in children is performed according to very limited and compelling indications. The principal of such a treatment is the complete and irreversible destruction of the hip joint accompanied by a permanent loss of function of the lower limb. Hip replacement in children with cerebral palsy is a very rare method of treatment. According to observations from the Turner Institute, it was performed in only 2% of all replacement cases. After the placement of an artificial joint, the atherogenic component of the contractures disappears and improves the motor activity of patients. In this paper, a 3-year follow-up of the bilateral total hip replacement in a child with cerebral palsy and bilateral secondary stage III coxarthrosis is presented.

Keywords

cerebral palsy / coxarthrosis / total hip replacement

References

[1] Неверов В.А., Камоско М.М., Басков В.Е. Эндопротезирование тазобедренного сустава у детей и подростков // Вестник хирургии им. И.И. Грекова. - 2011. - № 6. - С. 107-112. [Neverov VA, Kamosko MM, Baskov VE. Endoprotezirovanie tazobedrennogo sustava u detei i podrostkov. Vestnik khirurgii im. I.I. Grekova. 2011;6:107-112. (In Russ).]

[2] Raphael BS, Dines JS, Akerman M, Root L. Long-term followup of total hip arthroplasty in patientswith cerebral palsy. Clin Orthop Relat Res. 2010;468(7):1845-54. doi: 10.1007/s11999-009-1167-1.

[3] Sanders RJ, Swierstra BA, Goosen JH. The use of a dual-mobility concept in total hip arthroplasty patients with spastic disorders: no dislocations in a series of ten cases at midterm follow-up. Arch Orthop Trauma Surg. 2013;133(7):1011-6. doi: 10.1007/s00402-013-1759-9.

RIGHTS & PERMISSIONS

Baskov V.E., Neverov V.A.