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Salvage procedures for the painful chronically dislocated hip in cerebral palsy

DC FieldValueLanguage
dc.contributor.author김현우-
dc.contributor.author이동훈-
dc.contributor.author황진호-
dc.contributor.author박훈-
dc.date.accessioned2017-02-24T03:45:20Z-
dc.date.available2017-02-24T03:45:20Z-
dc.date.issued2016-
dc.identifier.issn2049-4394-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/146431-
dc.description.abstractThe aims of this study were to report functional outcomes of salvage procedures for patients with cerebral palsy (CP) who have chronic dislocation of the hip using validated scoring systems, and to compare the results of three surgical techniques. We reviewed 37 patients retrospectively. The mean age at the time of surgery was 12.2 years (8 to 22) and the mean follow-up was 56 months (24 to 114). Patients were divided into three groups: 14 who underwent proximal femoral resection arthroplasty (PFRA group 1), ten who underwent subtrochanteric valgus osteotomy (SVO group 2), and 13 who underwent subtrochanteric valgus osteotomy with resection of the femoral head (SVO with FHR group 3). All patients were evaluated using the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) and the Pediatric Quality of Life Inventory (PedsQL). Significant improvements occurred in most CPCHILD and PedsQL subsection scores following surgery in all patients, without significant differences between the groups. There were 12 post-operative complications. Less severe complications were seen in group 1 than in groups 2 and 3. Salvage surgery appears to provide pain relief in patients with CP who have painful chronic dislocation of the hip. The three salvage procedures produced similar results, however, we recommend the use of PFRA as the complications are less severe. TAKE HOME MESSAGE: Salvage surgery can be of benefit to patients with CP with chronic painful hip dislocation, but should be limited to selected patients considering complications.-
dc.description.statementOfResponsibilityrestriction-
dc.format.extent137~143-
dc.publisherBritish Editorial Society of Bone & Joint Surgery-
dc.relation.isPartOfBONE & JOINT JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHCerebral Palsy/complications*-
dc.subject.MESHChild-
dc.subject.MESHChronic Disease-
dc.subject.MESHFemale-
dc.subject.MESHHip Dislocation/complications-
dc.subject.MESHHip Dislocation/diagnostic imaging-
dc.subject.MESHHip Dislocation/surgery*-
dc.subject.MESHHumans-
dc.subject.MESHInterpersonal Relations-
dc.subject.MESHMale-
dc.subject.MESHMusculoskeletal Pain/etiology-
dc.subject.MESHMusculoskeletal Pain/surgery*-
dc.subject.MESHQuality of Life-
dc.subject.MESHRadiography-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSalvage Therapy/adverse effects-
dc.subject.MESHSalvage Therapy/methods*-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHYoung Adult-
dc.titleSalvage procedures for the painful chronically dislocated hip in cerebral palsy-
dc.typeArticle-
dc.publisher.locationEngland-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Orthopedic Surgery-
dc.contributor.googleauthorJ. H. Hwang-
dc.contributor.googleauthorL. Varte-
dc.contributor.googleauthorH. W. Kim-
dc.contributor.googleauthorD. H. Lee-
dc.contributor.googleauthorH. Park-
dc.identifier.doi10.1302/0301-620X.98B1.35202-
dc.contributor.localIdA01124-
dc.contributor.localIdA02741-
dc.contributor.localIdA04491-
dc.contributor.localIdA01775-
dc.relation.journalcodeJ00382-
dc.identifier.eissn2049-4408-
dc.identifier.pmid26733527-
dc.identifier.urlhttp://www.bjj.boneandjoint.org.uk/content/98-B/1/137-
dc.relation.journalbefore2013 ~ Journal of Bone and Joint Surgery - British Volume-
dc.subject.keywordcerebral palsy-
dc.subject.keywordfemoral head resection-
dc.subject.keywordhip dislocation-
dc.subject.keywordproximal femoral resection arthroplasty-
dc.subject.keywordsubtrochanteric valgus osteotomy-
dc.contributor.alternativeNameKim, Hyun Woo-
dc.contributor.alternativeNameLee, Dong Hoon-
dc.contributor.alternativeNameHwang, Jin Ho-
dc.contributor.alternativeNamePark, Hoon-
dc.contributor.affiliatedAuthorKim, Hyun Woo-
dc.contributor.affiliatedAuthorLee, Dong Hoon-
dc.contributor.affiliatedAuthorHwang, Jin Ho-
dc.contributor.affiliatedAuthorPark, Hoon-
dc.citation.volume98-B-
dc.citation.number1-
dc.citation.startPage137-
dc.citation.endPage143-
dc.identifier.bibliographicCitationBONE & JOINT JOURNAL, Vol.98-B(1) : 137-143, 2016-
dc.date.modified2017-02-24-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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