Acetabular Augmentation for Progressive Hip Subluxation in Cerebral Palsy
Acetabular Augmentation for Progressive Hip Subluxation in Cerebral Palsy
复制标题
髋臼增强治疗脑瘫进行性髋关节半脱位
DOI：
10.1097/01241398-198408000-00009
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发表时间：
1984
影响因子：
1.7
通讯作者：
J. McLaughlin
中科院分区：
文献类型：
--
作者：
J. Zuckerman;L. Staheli;J. McLaughlin
在1969年至1981年间，对17例进行性髋关节不稳定的脑瘫患者进行了20例髋臼增强手术。平均随访时间为41.5个月，随访时间为24 ~ 147个月。评估结果基于髋关节稳定性、中心边缘（CE）角度、活动范围和术后并发症的评估。十八个髋部被评为好，一个一般，一个差。19个髋部达到稳定。CE角从术前平均- 17°增加到随访平均50°。术前和随访的髋关节活动范围无显著差异。唯一的并发症是股骨髁上骨折后持续石膏固定。髋臼增强术可有效治疗脑瘫患者进行性髋不稳。
Between 1969 and 1981, 20 acetabular augmentations were performed on 17 cerebral palsied patients with progressive hip instability. Average follow-up was 41.5 months, with a range from 24 to 147 months. Evaluation of results was based on assessment of hip stability, center edge (CE) angle, range of motion, and postoperative complications. Eighteen hips were rated good, one fair, and one poor. Stability was achieved in 19 hips. The CE angle was increased from a preoperative mean of - 17° to a follow-up mean of 50°. There was no significant difference between preoperative and follow-up hip range of motion. The only complication encountered was a supracondylar femur fracture sustained after spica cast immobilization. Acetabular augmentation can be used effectively in the treatment of progressive hip instability in patients with cerebral palsy.