Management of Hip Disorders in Patients with Cerebral Palsy

>> Hip disorders are the second most common musculoskeletal abnormality seen in children with cerebral palsy, affecting nearly 1 in 3. >> The goal of surgical intervention is to provide a mobile, located, and painless hip. >> Reconstructive procedures are indicated for children with migration percentages of >40%. >> Reconstructive procedures typically result in a long-term satisfactory outcome, although recurrence is seen particularly in nonambulatory children and when the reconstruction is performed earlier than 6 years of age. >> Salvage procedures are performed when reconstructive procedures are no longer an option and degenerative changes have occurred. They include proximal femoral valgus osteotomy, proximal femoral resection, and hip arthroplasty.