A comparative study of the results of reconstructive interventions in 45 hip joints of 25 children with spastic cerebral palsy

Abstract

Purpose. To compare the results of using two types of lockable plates (LCPSynthes 100°, 110° and Surfix 90°) for reconstructive interventions in the hip of children with spastic palsy of severe forms in the multilevel surgeries from the point of view of surgery effectiveness and invasiveness.
Material and Methods. The advantage of using the lockable plates with angular stability in multilevel surgeries demonstrated on the basis of the results of 45 reconstructive interventions in the hip of 25 children with severe forms of spastic palsy. Results. Both less surgery duration and less blood loss noted when Surfix 90° plates used, that is of importance for children of level IV and V according to GMFCS, already having some associated chronic diseases.
Conclusion. The use of the lockable plates of different types for proximal femur (LCP Synthes or Surfix) doesn’t influence on the final result, provides stable fixation of osteoporotic bone fragments, rules out the complications such as secondary displacements of fragments, as well as migration of osteosynthesis material.