Simultaneous Bilateral Femoral Osteotomies in Neurogenic Hip Instability: a Feasibility Study

PURPOSE OF THE STUDY The study aimed to evaluate the intraoperative and early postoperative response simultaneous bilateral femoral osteotomy usually accompanied by soft tissue release of hip joints, or open reduction, capsuloplasty, pelvic extraarticular shelf procedure. MATERIAL AND METHODS A surgery was performed in 16 children. Twelve children suffered from (spastic) cerebral palsy there one case paralytic dislocation a patient with myelomeningocele, while remaining patients chromosome I aberrations, Dandy-Walker syndrome merosin-deficient muscular dystrophy. GMFCS Level IV V prevailed. head deformity severe adduction contracture were removed group. In all cases LCP Pediatric Hip Plate 3.5 5.0 (Synthes) used for osteosynthesis. fixation spica cast applied 6 weeks, after which most SWASH orthosis at night. age patient, joint finding, level type procedure recorded. RESULTS evaluation took into account use general anaesthesia only combination epidural anaesthesia, often through caudal block, duration surgery, time when blood transfusion necessary volumes needed, stay Anaesthesiology Resuscitation Unit, Intensive Care Unit. As changes haemoglobin levels g/l VAS pain score studied. four operative exceeded 3 hours. Blood 13 patients, unit being always sufficient. Two admitted spent 1-3 days ICU. average length hospital did not exceed week. decrease quickly improved. intensity regularly recorded postoperatively on day 3-4 it evaluated as moderate, responding well common analgesics (VAS 4-7). DISCUSSION procedure, recovery based need transfusion, count scores indicated that both joints simultaneously does significantly reasonable limits terms s burden. literature, we found single article topic this sort, conclusions are very similar. CONCLUSIONS can be considered fairly safe Key words: instability, osteotomy, palsy.