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Outcomes of salvage hip surgery in children with cerebral palsy

Chan, Priscellaa; Hsu, Angelaa; Godfrey, Jennab; Silva, Selina S.c; Goldstein, Rachel Y.a; Ryan, Deirdrea; Choi, Paul D.a,✠; Kay, Robert M.a

Journal of Pediatric Orthopaedics B: July 2019 - Volume 28 - Issue 4 - p 314–319
doi: 10.1097/BPB.0000000000000566

This study compared the outcomes of four salvage procedures in treating painful dislocated hips in patients with cerebral palsy: Schanz osteotomy, Girdlestone, Castle, and McHale procedures. A retrospective review of cerebral palsy patients treated between 1990 and 2014 with minimum 6-month follow-up was carried out. Of 69 hips (62 patients), there were 36 McHales, 24 Castles, four Girdlestones, and five Schanz procedures at a mean age of 13.9 years. All four procedures provided pain relief. Proximal femoral migration was similar following the procedures, but heterotopic ossification was more common after the Castle procedure. Bone resorption and revision surgery were more frequent after the McHale procedure.

aChildren’s Orthopedic Center, Children’s Hospital Los Angeles, Los Angeles, California

bCincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

cUniversity of New Mexico Carrie Tingley Hospital, Albuquerque, New Mexico, USA

✠ Deceased.

Correspondence to Rachel Y. Goldstein, MD, MPH, Children’s Orthopaedic Center, Children’s Hospital Los Angeles, 4650 Sunset Blvd, MS#69, Los Angeles, CA 90027, USA Tel: +1 323 361 4658; fax: +1 323 361 1310; e-mail:

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