ArticleJournal of children's orthopaedics2023
Bony hip reconstruction for displaced hips in patients with cerebral palsy: Is postoperative immobilization indicated?
Article in Journal of children's orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- USE OF AN ABDUCTION ORTHOSIS AFTER FEMORAL OSTEOTOMY IN CHILDREN WITH CEREBRAL PALSY.Acta ortopedica brasileira · 2026Article
- Current Variation in the Postoperative Management of Patients With Cerebral Palsy Undergoing Lower Extremity Surgery: A Survey of Surgeon Practices.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Risk Estimates of Five Adverse Outcomes Following Hip and Spine Surgery Among Children with Cerebral Palsy to Inform Peri-operative Care.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Foam Splint-The Comfortable Way of Postoperative Immobilization After Surgical Hip Reconstruction in Children-A Randomized Clinical Trial.Journal of clinical medicine · 2025Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Decisions for postoperative immobilization after bony hip reconstructive surgery in cerebral palsy are controversial in current practice. The aim of this study was to check if choosing not to use any kind of postoperative immobilization is a safe practice. Methods: A retrospective cohort study was conducted in a pediatric orthopedic tertiary referral center. The study included 148 patients (228 hips) with cerebral palsy, who had bony hip surgery. Medical records were reviewed for incidence of complications, methods of pain control, and length of hospital stay. Three radiographic measures (neck-shaft angle, Reimers migration index, and acetabular index) were performed on preoperative and postoperative X-rays. X-rays were also checked for mechanical failure of implant, recurrent dislocation/subluxation, and fractures in the first 6 months postoperatively. Results: In total, 94 (64%) were male and 54 (36%) were female. Seventy-seven (52%) were Gross Motor Function Classification System V, mean age at surgery was 8.6 years (2.5-18.4 years). Length of hospital stay was 6.25 days (SD 4.64 days). Medical complications that may have prolonged hospital stay occurred in 41 patients (27.7%). Radiological measurements showed significant improvement postoperatively ( Conclusion: Avoiding postoperative immobilization following bony hip surgery in cerebral palsy is a safe practice and associated with reduced rate of medical and mechanical problems compared to the current literature. This approach should be utilized with optimal pain and tone management.
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