Reconstruction surgery for dislocated hips in children with cerebral palsy
https://doi.org/10.18019/1028-4427-2021-27-4-481-486
Abstract
Introduction. The article is a literature review focusing on reconstruction surgery for dislocated hips in children with cerebral palsy (CP).
Material and methods. Publications in Scopus, PubMed, RSCI indexed journals over the past 20 years were reviewed for hip dislocation in children with CP.
Results and discussion. The article discusses the prevalence of the orthopaedic complication of cerebral palsy, pathogenesis, diagnosis, indications to surgery, choice of surgical technique, early rehabilitation and long-term outcomes. A report made for the first educational meeting of the European Pediatric Orthopaedic Society held in Russia at the Ilizarov Center in 2021 was used for the contribution.
Conclusion. Surgical treatment is indicated for hip dislocation in children with CP using holistic approach and principles of single-event multilevel surgery that suggest hip reconstruction, addressing contractures and deformities of the subjacent segments and creating conditions for postoperative postural management. Standardized indications, patient selection and optimal time for intervention are to be carefully considered for the procedure with the use of customized orthopaedic implants and techniques.
About the Authors
D. A. Popkov
Ilizarov National Medical Research Centre for Traumatology and Orthopedics
Russian Federation
Russian Federation
Dmitry A. Popkov, M.D., Ph.D., Professor of RAS, correspondent member French Academy of Medical Sciences,
Kurgan
G. M. Chibirov
Ilizarov National Medical Research Centre for Traumatology and Orthopedics
Russian Federation
Russian Federation
Georgy M. Chibirov, M.D., Ph.D.,
Kurgan
A. D. Tomov
Morozov Children's City Clinical Hospital of the Moscow City Health Department
Russian Federation
Russian Federation
Ahmed D. Tomov, M.D.,
Moscow
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For citations:
Popkov D.A., Chibirov G.M., Tomov A.D. Reconstruction surgery for dislocated hips in children with cerebral palsy. Genij Ortopedii. 2021;27(4):481-486. https://doi.org/10.18019/1028-4427-2021-27-4-481-486
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