The Experts below are selected from a list of 2868 Experts worldwide ranked by ideXlab platform
T Porter - One of the best experts on this subject based on the ideXlab platform.
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natural history of the dislocated hip in spastic cerebral palsy
Developmental Medicine & Child Neurology, 2008Co-Authors: Marc Moreau, Denis S Drummond, Eugene Rogala, A Ashworth, T PorterAbstract:A review was made of 88 adult institutionalized patients with spastic cerebral palsy and contractural deformity of the hips. 21 were untreated for dislocated hip, and 11 of these suffered from hip pain. The degree of pain was directly related to neurological maturity and to the coexistence of athetosis and spasticity. Decubitus ulcers and Perineal Care problems were more associated with contractures than with dislocation alone. It is concluded that dislocation and subluxation should be prevented by surgical means, but that surgical treatment of the already dislocated hip should be reserved for the neurologically mature and athetoid patient.
Brad Olney - One of the best experts on this subject based on the ideXlab platform.
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Proximal femoral resection for subluxation or dislocation of the hip in spastic quadriplegia.
Developmental medicine and child neurology, 2003Co-Authors: Steve Ackerly, Coley Vitztum, Brent L. Rockley, Brad OlneyAbstract:Management of a painful or contracted hip dislocation in individuals with severe spastic quadriplegia is difficult. Clinical and radiographic results of 12 proximal femoral resection-interposition operations performed in seven non-ambulatory persons (five males, two females; mean age 14 years, 8 months; age range 6 years 11 months to 19 years 8 months) with severe spasticity were reviewed to determine if pain relief and restoration of motion were maintained. At a mean follow-up of 7 years 7 months (median 9 years 6 months) all participants maintained a good sitting position and a functional range of motion with improved hygiene. Hip pain was improved in all participants compared with their preoperative status. Proximal femur migration occurred causing slight pain in one person. Heterotopic ossification was observed but was not clinically significant. Complications included traction pin loosening and infection and a late supracondylar femur fracture 3 months after the operation. Proximal femoral resection effectively decreased pain and restored hip motion in those with severe spastic quadriplegia leading to improved sitting and Perineal Care.
Marc Moreau - One of the best experts on this subject based on the ideXlab platform.
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natural history of the dislocated hip in spastic cerebral palsy
Developmental Medicine & Child Neurology, 2008Co-Authors: Marc Moreau, Denis S Drummond, Eugene Rogala, A Ashworth, T PorterAbstract:A review was made of 88 adult institutionalized patients with spastic cerebral palsy and contractural deformity of the hips. 21 were untreated for dislocated hip, and 11 of these suffered from hip pain. The degree of pain was directly related to neurological maturity and to the coexistence of athetosis and spasticity. Decubitus ulcers and Perineal Care problems were more associated with contractures than with dislocation alone. It is concluded that dislocation and subluxation should be prevented by surgical means, but that surgical treatment of the already dislocated hip should be reserved for the neurologically mature and athetoid patient.
Gaspar González-morán - One of the best experts on this subject based on the ideXlab platform.
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Painful Spastic Hip Dislocation: Proximal Femoral Resection
The Iowa orthopaedic journal, 2002Co-Authors: Javier Albiñana, Gaspar González-moránAbstract:The dislocated hip in a non-ambulatory child with spastic paresis tends to be a painful interference to sleep, sitting upright, and Perineal Care. Proximal femoral resection-interposition arthroplasty is one method of treatment for this condition. We reviewed eight hips, two bilateral cases, with a mean follow-up of 30 months. Clinical improvement was observed in all except one case, with respect to pain relief and sitting tolerance. Some proximal migration was observed in three cases, despite routine post-operative skeletal traction in all cases and Careful soft tissue interposition. One case showed significant heterotopic ossification which restricted prolonged sitting. This patient needed some occasional medication for pain.
Steve Ackerly - One of the best experts on this subject based on the ideXlab platform.
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Proximal femoral resection for subluxation or dislocation of the hip in spastic quadriplegia.
Developmental medicine and child neurology, 2003Co-Authors: Steve Ackerly, Coley Vitztum, Brent L. Rockley, Brad OlneyAbstract:Management of a painful or contracted hip dislocation in individuals with severe spastic quadriplegia is difficult. Clinical and radiographic results of 12 proximal femoral resection-interposition operations performed in seven non-ambulatory persons (five males, two females; mean age 14 years, 8 months; age range 6 years 11 months to 19 years 8 months) with severe spasticity were reviewed to determine if pain relief and restoration of motion were maintained. At a mean follow-up of 7 years 7 months (median 9 years 6 months) all participants maintained a good sitting position and a functional range of motion with improved hygiene. Hip pain was improved in all participants compared with their preoperative status. Proximal femur migration occurred causing slight pain in one person. Heterotopic ossification was observed but was not clinically significant. Complications included traction pin loosening and infection and a late supracondylar femur fracture 3 months after the operation. Proximal femoral resection effectively decreased pain and restored hip motion in those with severe spastic quadriplegia leading to improved sitting and Perineal Care.