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Residual pelvic rotation after single-event multilevel surgery in spastic hemiplegia

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dc.contributor.authorChung, C Y-
dc.contributor.authorLee, S H-
dc.contributor.authorChoi, I H-
dc.contributor.authorCho, T-J-
dc.contributor.authorYoo, W J-
dc.contributor.authorPark, M S-
dc.date.accessioned2010-06-07-
dc.date.available2010-06-07-
dc.date.issued2008-09-02-
dc.identifier.citationJ Bone Joint Surg Br. 2008;90(9):1234-8en
dc.identifier.issn0301-620X (Print)-
dc.identifier.urihttp://www.jbjs.org.uk/cgi/reprint/90-B/9/1234.pdf-
dc.identifier.urihttps://hdl.handle.net/10371/67473-
dc.description.abstractOur aim in this retrospective study of 52 children with spastic hemiplegia was to determine the factors which affected the amount of residual pelvic rotation after single-event multilevel surgery. The patients were divided into two groups, those who had undergone femoral derotation osteotomy and those who had not. Pelvic rotation improved significantly after surgery in the femoral osteotomy group (p < 0.001) but not in the non-femoral osteotomy group. Multiple regressions identified the following three independent variables, which significantly affected residual pelvic rotation: the performance of femoral derotation osteotomy (p = 0.049), the pre-operative pelvic rotation (p = 0.003) and the post-operative internal rotation of the hip (p = 0.001). We concluded that there is a decrease in the amount of pelvic rotation after single-event multilevel surgery with femoral derotation osteotomy. However, some residual rotation may persist when patients have severe rotation before surgery.en
dc.language.isoenen
dc.publisherBritish Editorial Society of Bone and Joint Surgeryen
dc.subjectAdolescenten
dc.subjectChilden
dc.subjectChild, Preschoolen
dc.subjectFemaleen
dc.subjectFemur/*surgeryen
dc.subjectGait/*physiologyen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMaleen
dc.subjectOsteotomy/methodsen
dc.subjectPelvis/*physiopathologyen
dc.subjectRetrospective Studiesen
dc.subjectTorsion, Mechanicalen
dc.subjectTreatment Outcomeen
dc.subjectHemiplegia/physiopathology/surgery-
dc.titleResidual pelvic rotation after single-event multilevel surgery in spastic hemiplegiaen
dc.typeArticleen
dc.identifier.doi10.1302/0301-620X.90B9.20618-
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