Prevention of spastic paralytic dislocation of the hip / Vicki KALEN in Developmental Medicine & Child Neurology, 27-1 (February 1985)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 27-1 (February 1985) . - p.17-24 Titre : Prevention of spastic paralytic dislocation of the hip Type de document : Texte imprimé et/ou numérique Auteurs : Vicki KALEN, Auteur ; Eugene E. BLECK, Auteur Année de publication : 1985 Article en page(s) : p.17-24 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : In a retrospective review of 99 children with spastic cerebral palsy, the efficacy of soft-tissue procedures alone in reducing early subluxation of the hip and preventing further subluxation and dislocation was determined. The indication for surgery was early subluxation of one or both hips. Surgery was either adductor tenotomy with or without anterior branch obturator neurectomy, or adductor tenotomy in combination with iliopsoas recession. Results were poor for 64 per cent after adductor tenotomy and anterior branch obturator neurectomy. For patients who also had iliopsoas recession the success rate was 72 per cent. Radiographic analysis showed that uncovering of the femoral head had halted or improved in 80 per cent of patients following iliopsoas recession. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=586 [article] Prevention of spastic paralytic dislocation of the hip [Texte imprimé et/ou numérique] / Vicki KALEN, Auteur ; Eugene E. BLECK, Auteur . - 1985 . - p.17-24. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 27-1 (February 1985) . - p.17-24 Index. décimale : PER Périodiques Résumé : In a retrospective review of 99 children with spastic cerebral palsy, the efficacy of soft-tissue procedures alone in reducing early subluxation of the hip and preventing further subluxation and dislocation was determined. The indication for surgery was early subluxation of one or both hips. Surgery was either adductor tenotomy with or without anterior branch obturator neurectomy, or adductor tenotomy in combination with iliopsoas recession. Results were poor for 64 per cent after adductor tenotomy and anterior branch obturator neurectomy. For patients who also had iliopsoas recession the success rate was 72 per cent. Radiographic analysis showed that uncovering of the femoral head had halted or improved in 80 per cent of patients following iliopsoas recession. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=586

Resection arthroplasty of the hip in paralytic dislocations / Vicki KALEN in Developmental Medicine & Child Neurology, 26-3 (June 1984)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 26-3 (June 1984) . - p.341-346 Titre : Resection arthroplasty of the hip in paralytic dislocations Type de document : Texte imprimé et/ou numérique Auteurs : Vicki KALEN, Auteur ; James G. GAMBLE, Auteur Année de publication : 1984 Article en page(s) : p.341-346 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The chronically dislocated paralytic hip causes postural difficulties, nursing and hygiene problems, and pain. Therapeutic options are limited. This study reviews the results of resection arthroplasty on 18 hips of 15 such patients. This procedure has many complications, including hip ankylosis, heterotopic ossification, abduction contracture and bony overgrowth. Despite this, all of the nursing goals were achieved and most patients had relief of pain. The operation is most successful in the skeletally mature patients, and it relies on soft-tissue interposition between the bony fragments and postoperative positioning to ensure optimum posture. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=578 [article] Resection arthroplasty of the hip in paralytic dislocations [Texte imprimé et/ou numérique] / Vicki KALEN, Auteur ; James G. GAMBLE, Auteur . - 1984 . - p.341-346. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 26-3 (June 1984) . - p.341-346 Index. décimale : PER Périodiques Résumé : The chronically dislocated paralytic hip causes postural difficulties, nursing and hygiene problems, and pain. Therapeutic options are limited. This study reviews the results of resection arthroplasty on 18 hips of 15 such patients. This procedure has many complications, including hip ankylosis, heterotopic ossification, abduction contracture and bony overgrowth. Despite this, all of the nursing goals were achieved and most patients had relief of pain. The operation is most successful in the skeletally mature patients, and it relies on soft-tissue interposition between the bony fragments and postoperative positioning to ensure optimum posture. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=578

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