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Clin Orthop Relat Res. 2010 Jul;468(7):1845-54. doi: 10.1007/s11999-009-1167-1. Epub 2009 Nov 19.

Long-term followup of total hip arthroplasty in patients with cerebral palsy.

Author information

1
Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA. raphaelb@hss.edu

Abstract

BACKGROUND:

Patients with cerebral palsy (CP) are at risk for hip arthrosis secondary to the loss of joint congruity.

QUESTIONS/PURPOSES:

We asked whether THA relieved pain, improved function, and provided durable improvements.

METHODS:

We retrospectively identified 56 patients (59 hips) with CP who had THAs for painful hips. Chart review determined the preoperative, postoperative, and current functional levels. All patients or caregivers completed a questionnaire, including a modified Gross Motor Function Classification System mobility scale and qualitative reports of pain and satisfaction. Pain levels were measured on a visual analog scale at three times: preoperative, postoperative, and current. The average age of the patients at the time of surgery was 30.6 years. Minimum followup was 2 years (average, 9.7 years; range, 2-28 years).

RESULTS:

Pain relief was obtained in all patients. All patients returned to preoperative function (59) and 52 patients returned to prepain functional status (88%). Seven patients underwent acetabular component revisions, and two patients had a femoral stem component revision. The 2-year implant survival was 95%, and 10-year survivorship was 85%.

CONCLUSIONS:

THA can provide durable relief and improved function in patients with CP with severe coxarthrosis.

LEVEL OF EVIDENCE:

Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

PMID:
19924492
PMCID:
PMC2881999
DOI:
10.1007/s11999-009-1167-1
[Indexed for MEDLINE]
Free PMC Article
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