PDF(Pubmed)
Abstract：
UNASSIGNED: This report presents the long-term results of the hip joint reconstruction in patients with spastic hip disease through open reduction, proximal femur varus derotation osteotomy, and Dega transiliac osteotomy.
UNASSIGNED: We analyzed retrospectively patients diagnosed with a spastic form of bilateral cerebral palsy with painful hip subluxation or dislocation. All patients underwent the same surgical procedure. The minimum follow-up time was 15 years. The study group comprised 15 patients (22 hips), classified with the Gross Motor Function Classification System as levels IV and V. The hip joint range of motion and anteroposterior X-ray examination at the final follow-up visit were compared with pre-operative data. The pain level was evaluated using the Visual Analogue Scale (VAS), and the femoral head shape was assessed using the Rutz classification. The patients\' caregivers answered questions regarding pain during sitting, personal hygiene activities, and at rest. The caregivers\' satisfaction with the treatment was also assessed with the Caregiver Priorities and Child Health Index of Life with Disabilities questionnaire.
UNASSIGNED: We observed a significant reduction of the hip joint pain and improvement in both radiological hip stability parameters and range of motion at the final follow-up visit. Based on the Rutz classification, one hip remained type B, while the other joints became type A. Reduced pain was reported in all three positions, with the most pronounced improvement during sitting and personal hygiene activities. Interestingly, patients with unilateral hip reconstruction were more prone to pain after reconstruction than those operated bilaterally.
UNASSIGNED: Primary reconstruction of the painful hip joint neurogenic dislocation results in a stable joint reduction, pain decrease, and improved quality of life in patients with cerebral palsy.
UNASSIGNED: IV case series.
UNASSIGNED: We analyzed retrospectively patients diagnosed with a spastic form of bilateral cerebral palsy with painful hip subluxation or dislocation. All patients underwent the same surgical procedure. The minimum follow-up time was 15 years. The study group comprised 15 patients (22 hips), classified with the Gross Motor Function Classification System as levels IV and V. The hip joint range of motion and anteroposterior X-ray examination at the final follow-up visit were compared with pre-operative data. The pain level was evaluated using the Visual Analogue Scale (VAS), and the femoral head shape was assessed using the Rutz classification. The patients\' caregivers answered questions regarding pain during sitting, personal hygiene activities, and at rest. The caregivers\' satisfaction with the treatment was also assessed with the Caregiver Priorities and Child Health Index of Life with Disabilities questionnaire.
UNASSIGNED: We observed a significant reduction of the hip joint pain and improvement in both radiological hip stability parameters and range of motion at the final follow-up visit. Based on the Rutz classification, one hip remained type B, while the other joints became type A. Reduced pain was reported in all three positions, with the most pronounced improvement during sitting and personal hygiene activities. Interestingly, patients with unilateral hip reconstruction were more prone to pain after reconstruction than those operated bilaterally.
UNASSIGNED: Primary reconstruction of the painful hip joint neurogenic dislocation results in a stable joint reduction, pain decrease, and improved quality of life in patients with cerebral palsy.
UNASSIGNED: IV case series.
摘要：
■本报告介绍了通过切开复位治疗痉挛型髋关节疾病患者髋关节重建的长期结果，股骨近端内翻旋转截骨术，和Dega短臂截骨术.
■我们回顾性分析了诊断为痉挛型双侧脑瘫并伴有疼痛性髋关节半脱位或脱位的患者。所有患者均接受相同的外科手术。最短随访时间为15年。研究组包括15名患者（22髋），粗大运动功能分类系统分为IV级和V级。将最后一次随访时的髋关节活动范围和前后X线检查与术前数据进行比较。使用视觉模拟评分法(VAS)评估疼痛程度,使用Rutz分类评估股骨头形状。病人的照顾者回答了有关坐着时疼痛的问题，个人卫生活动，和休息。护理人员对治疗的满意度也通过照顾者优先事项和儿童健康残疾生活指数问卷进行评估。
■在最后一次随访时，我们观察到髋关节疼痛的显着减轻以及放射学髋关节稳定性参数和活动范围的改善。基于Rutz分类,一个臀部保持B型,而其他关节则变成A型。据报道，所有三个位置的疼痛都减轻了，在坐着和个人卫生活动中最明显的改善。有趣的是,单侧髋关节重建术的患者比双侧髋关节重建术的患者更容易出现疼痛。
■疼痛性髋关节神经源性脱位的初次重建导致稳定的关节复位，疼痛减轻，改善脑瘫患者的生活质量。
■IV案例系列。
■我们回顾性分析了诊断为痉挛型双侧脑瘫并伴有疼痛性髋关节半脱位或脱位的患者。所有患者均接受相同的外科手术。最短随访时间为15年。研究组包括15名患者（22髋），粗大运动功能分类系统分为IV级和V级。将最后一次随访时的髋关节活动范围和前后X线检查与术前数据进行比较。使用视觉模拟评分法(VAS)评估疼痛程度,使用Rutz分类评估股骨头形状。病人的照顾者回答了有关坐着时疼痛的问题，个人卫生活动，和休息。护理人员对治疗的满意度也通过照顾者优先事项和儿童健康残疾生活指数问卷进行评估。
■在最后一次随访时，我们观察到髋关节疼痛的显着减轻以及放射学髋关节稳定性参数和活动范围的改善。基于Rutz分类,一个臀部保持B型,而其他关节则变成A型。据报道，所有三个位置的疼痛都减轻了，在坐着和个人卫生活动中最明显的改善。有趣的是,单侧髋关节重建术的患者比双侧髋关节重建术的患者更容易出现疼痛。
■疼痛性髋关节神经源性脱位的初次重建导致稳定的关节复位，疼痛减轻，改善脑瘫患者的生活质量。
■IV案例系列。
