Abstract
There are many surgical techniques for treating the chronically dislocated, painful hip in patients with neuromuscular spasticity, but each has significant complication rates. We conducted a study to examine the outcomes of a novel technique, an extreme varus femoral shortening osteotomy, used in nonambulatory patients with neuromuscular spasticity. Patients who underwent the procedure were identified retrospectively by surgical codes. Medical records were reviewed for range of motion, pain and functional assessment, surgical indications, complications, and results. In addition, preoperative and postoperative radiographs were assessed, and caretaker questionnaires reviewed. Between 2001 and 2010, 1 surgeon performed 6 femoral shortening osteotomies in 5 nonambulatory patients with neuromuscular spasticity. In all 5 cases, there were improvements in pain, sitting tolerance, ease of hygiene, and ease of transfers at a minimum follow-up of 2 years (mean, 3.4 years). Postoperative complications included asymptomatic heterotopic ossification and recurrent subluxation. Extreme femoral shortening is a reproducible surgical technique that alleviates pain and makes hygiene easier in nonambulatory children with symptomatic hip dislocations caused by neuromuscular spasticity. Our complication rate was comparable to that of other procedures.
| Original language | English (US) |
|---|---|
| Pages (from-to) | E200-E205 |
| Journal | American journal of orthopedics (Belle Mead, N.J.) |
| Volume | 43 |
| Issue number | 9 |
| State | Published - Sep 1 2014 |
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ASJC Scopus subject areas
- Medicine(all)
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Extreme femoral shortening : an approach to the chronically dislocated hip in the nonambulatory pediatric population. / Kalawadia, Jay V.; Patel, Ronak M.; Jensen, Layne; Sarwark, John.
In: American journal of orthopedics (Belle Mead, N.J.), Vol. 43, No. 9, 01.09.2014, p. E200-E205.Research output: Contribution to journal › Article
TY - JOUR
T1 - Extreme femoral shortening
T2 - an approach to the chronically dislocated hip in the nonambulatory pediatric population
AU - Kalawadia, Jay V.
AU - Patel, Ronak M.
AU - Jensen, Layne
AU - Sarwark, John
PY - 2014/9/1
Y1 - 2014/9/1
N2 - There are many surgical techniques for treating the chronically dislocated, painful hip in patients with neuromuscular spasticity, but each has significant complication rates. We conducted a study to examine the outcomes of a novel technique, an extreme varus femoral shortening osteotomy, used in nonambulatory patients with neuromuscular spasticity. Patients who underwent the procedure were identified retrospectively by surgical codes. Medical records were reviewed for range of motion, pain and functional assessment, surgical indications, complications, and results. In addition, preoperative and postoperative radiographs were assessed, and caretaker questionnaires reviewed. Between 2001 and 2010, 1 surgeon performed 6 femoral shortening osteotomies in 5 nonambulatory patients with neuromuscular spasticity. In all 5 cases, there were improvements in pain, sitting tolerance, ease of hygiene, and ease of transfers at a minimum follow-up of 2 years (mean, 3.4 years). Postoperative complications included asymptomatic heterotopic ossification and recurrent subluxation. Extreme femoral shortening is a reproducible surgical technique that alleviates pain and makes hygiene easier in nonambulatory children with symptomatic hip dislocations caused by neuromuscular spasticity. Our complication rate was comparable to that of other procedures.
AB - There are many surgical techniques for treating the chronically dislocated, painful hip in patients with neuromuscular spasticity, but each has significant complication rates. We conducted a study to examine the outcomes of a novel technique, an extreme varus femoral shortening osteotomy, used in nonambulatory patients with neuromuscular spasticity. Patients who underwent the procedure were identified retrospectively by surgical codes. Medical records were reviewed for range of motion, pain and functional assessment, surgical indications, complications, and results. In addition, preoperative and postoperative radiographs were assessed, and caretaker questionnaires reviewed. Between 2001 and 2010, 1 surgeon performed 6 femoral shortening osteotomies in 5 nonambulatory patients with neuromuscular spasticity. In all 5 cases, there were improvements in pain, sitting tolerance, ease of hygiene, and ease of transfers at a minimum follow-up of 2 years (mean, 3.4 years). Postoperative complications included asymptomatic heterotopic ossification and recurrent subluxation. Extreme femoral shortening is a reproducible surgical technique that alleviates pain and makes hygiene easier in nonambulatory children with symptomatic hip dislocations caused by neuromuscular spasticity. Our complication rate was comparable to that of other procedures.
UR - http://www.scopus.com/inward/record.url?scp=84930800643&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84930800643&partnerID=8YFLogxK
M3 - Article
C2 - 25251533
AN - SCOPUS:84930800643
VL - 43
SP - E200-E205
JO - American Journal of Orthopedics
JF - American Journal of Orthopedics
SN - 1078-4519
IS - 9
ER -