Adams Curtis T, Lakra Akshay
Department of Orthopedic Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY, 12208, United States.
J Orthop. 2020 Jan 25;21:19-24. doi: 10.1016/j.jor.2020.01.031. eCollection 2020 Sep-Oct.
Hip joint subluxation and dislocations are very common in cerebral palsy (CP) patients and are directly related to a patient's degree of spasticity. Hip dislocation and subluxation leads to hip pain and difficulty in hygiene maintenance by a caregiver. Most cases require surgical intervention to improve the quality of life in these patients. For many years pelvic and proximal femoral osteotomies with soft tissue releases were the mainstay of treatment for affected hips in CP patients. Recently, hip arthroplasty has been proposed as a very successful operation which provides a pain free and mobile joint in CP patients. The purpose of this review is to evaluate the current evidence for effectiveness of total hip arthroplasty in CP patients.
髋关节半脱位和脱位在脑瘫（CP）患者中非常常见，并且与患者的痉挛程度直接相关。髋关节脱位和半脱位会导致髋关节疼痛以及护理人员在维持患者卫生方面存在困难。大多数病例需要手术干预以改善这些患者的生活质量。多年来，骨盆和股骨近端截骨术联合软组织松解一直是治疗CP患者受累髋关节的主要方法。最近，髋关节置换术已被提议作为一种非常成功的手术，可为CP患者提供无痛且可活动的关节。本综述的目的是评估目前关于全髋关节置换术治疗CP患者有效性的证据。
