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Palliative hip surgery in severe cerebral palsy: a systematic review

Boldingh, Eric J.a; Bouwhuis, Carola B.a; van der Heijden-Maessen, Hélène C.M.a; Bos, Cees F.b; Lankhorst, Guustaaf J.c

Journal of Pediatric Orthopaedics B: January 2014 - Volume 23 - Issue 1 - p 86–92
doi: 10.1097/BPB.0b013e3283651a5d

We performed a systematic review of the results of palliative hip surgery in severe cerebral palsy. Individuals with severe cerebral palsy frequently suffer from pain and other impairments because of dislocation or malformation of the hips. When preventive or reconstructive surgery fails, palliative intervention is performed. A number of salvage interventions have been described. We found articles on resection surgery of the femoral head, arthrodesis of the hip joint, and total hip replacement. The published literature does not clearly favor one procedure over the others. The resection arthroplasty technique developed by Castle is reported to yield the best results and fewer complications, and seems to eventually lead to a good outcome.

aSophia Rehabilitation Center, Den Haag

bLeiden University Medical Centre, Leiden

cVU University Medical Center, Amsterdam, The Netherlands

Correspondence to Eric J. Boldingh, MD, Sophia Rehabilitation Center, Vrederustlaan 180, 2543 SW Den Haag, The Netherlands Tel: +31 70 3593 503; fax: +31 70 3664 510; e-mail:

© 2014 by Lippincott Williams & Wilkins, Inc.