Treatment versus non-treatment of hip dislocations in ambulatory patients with myelomeningocele

Thirty myelomeningocele patients with untreated hip dislocations who had functional quadriceps and good ambulatory capability were evaluated for hip pain, hip motion and sitting ability: they had no pain, good to excellent hip motion and no difficulty in sitting. Three were wheelchair-bound. Nine ha...

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Bibliographic Details
Published inDevelopmental medicine and child neurology Vol. 33; no. 6; p. 491
Main Authors Sherk, H H, Uppal, G S, Lane, G, Melchionni, J
Format Journal Article
LanguageEnglish
Published England 01.06.1991
Subjects
Adolescent
Adult
Child
Child, Preschool
Female
Hip Dislocation - etiology
Hip Dislocation - surgery
Humans
Male
Meningomyelocele - complications
Meningomyelocele - physiopathology
Postoperative Complications
Walking
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Summary:Thirty myelomeningocele patients with untreated hip dislocations who had functional quadriceps and good ambulatory capability were evaluated for hip pain, hip motion and sitting ability: they had no pain, good to excellent hip motion and no difficulty in sitting. Three were wheelchair-bound. Nine had a limb-length inequality requiring a shoe lift. They were compared with a similar series of 11 patients who underwent open reduction of a dislocated hip with a two-year follow-up. Two patients in this group had improved and three had worse sitting balance. Serious perioperative complications occurred in six patients. The authors conclude that surgical reduction of paralytic hip dislocations in ambulatory myelomeningocele patients is costly and offers little obvious benefit.
ISSN:0012-1622
DOI:10.1111/j.1469-8749.1991.tb14914.x