Outcome of Open Hip Reduction, Pelvic Osteotomy, and Varus Derotational Osteotomy in Children With Cerebral Palsy: A Retrospective Study

• Published in: Curēus (Palo Alto, CA) CA), 2024-02, Vol.16 (2), p.e53996-e53996
• Main Authors: Bin Majid, Ozair, Alzayed, Zayed S, Saba, Iram, Aournaser, Alia A, Valoria, Ruby Anne A, Koaban, Saeed, Zaabi, Shahad A, Nogud, Alaeldein A, Sharif, Abdulrahman M
• Format: Article
• Language: English
• Subjects: Age groups; Cerebral palsy; Humanitarianism; Orthopedics; Patients; Pediatrics; Radiology; Surgery
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.53996

Introduction For spastic hip dislocations, a variety of operations are available with open hip reduction and varus derotational osteotomy of the proximal femur combined with pelvic osteotomy ± adductor release being a good option with favourable outcomes. This study aims to assess the outcome and complications of combined open hip reduction with pelvic osteotomy and varus derotational osteotomy. Methods In this study, 70 hips in 52 patients with spastic hip dislocation due to cerebral palsy were included. All included patients were treated surgically in our institute between January 2016 and December 2021. There were 31 males and 21 females. For each patient, information was collected about the age at the time of surgery and different radiological parameters at three different time intervals: pre-operatively, immediately post-operatively, and at the final follow-up. We also collected information about any complications arising from the surgery performed. Results The mean duration of follow-up was 19.58 months. The acetabular index decreased from an average of 35.01° to 17.18° with a mean difference of 17.83° (p