{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:49:49Z","timestamp":1763466589221,"version":"3.45.0"},"reference-count":26,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,11,6]],"date-time":"2017-11-06T00:00:00Z","timestamp":1509926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nThe aim of this study was to determine whether the hip reconstruction has an effect on gross motor function classification system (GMFCS) levels in patients with hip instability in cerebral palsy (CP).\nMethods\nA total of 45 hips of 30 patients (mean age: 8.7 (4\u201317) years) with CP operated due to hip instability with a minimum of 2 years of follow-up were included into the study. Migration index was used for classification of the severity of hip instability. Clinical evaluation included sitting and walking ability, existence of pressure sores, difficulty in perineal care, and hip pain. The functional gains from the surgery were evaluated with changes in GMFCS levels. Wilcoxon T test, chi-square test and Spearman correlation test were used.\nResults\nMean follow-up time was 57 (24\u2013132) months. The distribution of preoperative GMFCS was level I in 1 patient, level II in 4 patients, level III in 5 patients, level IV in 9 patients and level V in 11 patients. The complaints resolved in 25 patients, and persisted in 5 postoperatively. There was no correlation between the changes in GMFCS levels and the postoperative complaints (p = 0.504). The GMFCS levels did not change in 20 patients, improved in 8, and worsened in 2. There were no significant differences between the preoperative and postoperative GMFCS levels (p = 0.052). Positive correlations were found between the preoperative GMFCS-MI, the type of CP-MI respectively (p = 0.001, p = 0.015).\nConclusion\nThere was an improvement in preoperative complaints. GMFCS levels remained stable after surgery. Relief in symptoms was not consistent with the changes in GMFCS in children with cerebral palsy after hip reconstruction.\nLevel of evidence\nLevel IV, Therapeutic study.\nER -\n\nKeywords\n\n\n\tCerebral palsy\n\tHip reconstruction\n\tGross motor function\n\tClassification system<\/jats:p>","DOI":"10.1016\/j.aott.2017.11.001","type":"journal-article","created":{"date-parts":[[2017,11,24]],"date-time":"2017-11-24T02:16:28Z","timestamp":1511489788000},"page":"44-48","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["The effect of hip reconstruction on gross motor function levels in children with cerebral palsy"],"prefix":"10.5152","volume":"52","author":[{"given":"Mutlu","family":"COBANOGLU","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"CULLU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imran","family":"OMURLU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"issue":"2","key":"10.1016\/j.aott.2017.11.001_bib1","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1007\/s11832-014-0570-7","article-title":"Hip displacement in relation to age and gross motor function in children with cerebral palsy","volume":"8","author":"Larnert","year":"2014","journal-title":"J\u00a0Child Orthop"},{"issue":"2","key":"10.1016\/j.aott.2017.11.001_bib2","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/BPO.0000000000000418","article-title":"Acetabular remodeling after a varus derotational osteotomy in children with cerebral palsy","volume":"36","author":"Chang","year":"2016","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"4","key":"10.1016\/j.aott.2017.11.001_bib3","first-page":"279","article-title":"Varus derotation osteotomy for the treatment of hip subluxation and dislocation in cerebral palsy: statistical analysis in 73 hips","volume":"10","author":"Noonan","year":"2001","journal-title":"J\u00a0Pediatr Orthop B"},{"issue":"4","key":"10.1016\/j.aott.2017.11.001_bib4","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1111\/j.1469-8749.1997.tb07414.x","article-title":"Development and reliability of a system to classify gross motor function in children with cerebral palsy","volume":"39","author":"Palisano","year":"1997","journal-title":"Dev Med Child Neurol"},{"issue":"1","key":"10.1016\/j.aott.2017.11.001_bib5","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1080\/17453670610045803","article-title":"Development of the hip joints in unoperated children with cerebral palsy: a radiographic study of 76 patients","volume":"77","author":"Terjesen","year":"2006","journal-title":"Acta Orthop"},{"issue":"1","key":"10.1016\/j.aott.2017.11.001_bib6","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2474-8-101","article-title":"Characteristics of children with hip displacement in cerebral palsy","volume":"8","author":"H\u00e4gglund","year":"2007","journal-title":"BMC Musculoskelet Disord"},{"issue":"5","key":"10.1016\/j.aott.2017.11.001_bib7","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1017\/S0012162200000529","article-title":"The gross motor function classification system for cerebral palsy: a study of reliability and stability over time","volume":"42","author":"Wood","year":"2000","journal-title":"Dev Med Child Neurol"},{"issue":"6","key":"10.1016\/j.aott.2017.11.001_bib8","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1017\/S0012162206000934","article-title":"Stability of the gross motor function classification system","volume":"48","author":"Palisano","year":"2006","journal-title":"Dev Med Child Neurol"},{"key":"10.1016\/j.aott.2017.11.001_bib9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/ort.1980.51.suppl-184.01","article-title":"The stability of the hip in children. A radiological study of the results of muscle surgery in cerebral palsy","volume":"184","author":"Reimers","year":"1980","journal-title":"Acta Orthop Scand Suppl"},{"issue":"4","key":"10.1016\/j.aott.2017.11.001_bib10","doi-asserted-by":"crossref","first-page":"832","DOI":"10.2106\/JBJS.C.01099","article-title":"Soft-tissue releases to treat spastic hip subluxation in children with cerebral palsy","volume":"87","author":"Presedo","year":"2005","journal-title":"J\u00a0Bone Jt Surg Am"},{"issue":"5","key":"10.1016\/j.aott.2017.11.001_bib11","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1097\/01241398-199709000-00004","article-title":"Long-term effects of intertrochanteric varus-derotation osteotomy on femur and acetabulum in spastic cerebral palsy: an 11- to 18-year follow-up study","volume":"17","author":"Brunner","year":"1997","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"1","key":"10.1016\/j.aott.2017.11.001_bib12","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1097\/01.bpb.0000228393.70302.ce","article-title":"Factors affecting femoral varus osteotomy in cerebral palsy: a long-term result over 10 years","volume":"16","author":"Oh","year":"2007","journal-title":"J\u00a0Pediatr Orthop B"},{"issue":"5","key":"10.1016\/j.aott.2017.11.001_bib13","first-page":"317","article-title":"[The results of single-stage multilevel muscle-tendon surgery in the lower extremities of patients with spastic cerebral palsy]","volume":"38","author":"Zorer","year":"2004","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"4","key":"10.1016\/j.aott.2017.11.001_bib14","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s11832-008-0105-1","article-title":"Adductor release and chemodenervation in children with cerebral palsy: a pilot study in 16 children","volume":"2","author":"Khot","year":"2008","journal-title":"J\u00a0Child Orthop"},{"issue":"9","key":"10.1016\/j.aott.2017.11.001_bib15","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1017\/S0012162206001575","article-title":"Gross motor function classification system used in adults with cerebral palsy: agreement of self-reported versus professional rating","volume":"48","author":"Jahnsen","year":"2006","journal-title":"Dev Med Child Neurol"},{"issue":"4","key":"10.1016\/j.aott.2017.11.001_bib16","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1111\/j.1469-8749.2007.00265.x","article-title":"Stability of the gross motor function classification system in adults with cerebral palsy","volume":"49","author":"McCormick","year":"2007","journal-title":"Dev Med Child Neurol"},{"issue":"9\u201310","key":"10.1016\/j.aott.2017.11.001_bib17","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1111\/j.1440-1754.2005.00687.x","article-title":"Cerebral palsy in Victoria: motor types, topography and gross motor function","volume":"41","author":"Howard","year":"2005","journal-title":"J\u00a0Paediatr Child Health"},{"issue":"7","key":"10.1016\/j.aott.2017.11.001_bib18","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1017\/S0012162206001174","article-title":"Dislocation of the hips in children with bilateral spastic cerebral palsy, 1985\u20132000","volume":"48","author":"Morton","year":"2006","journal-title":"Dev Med Child Neurol"},{"issue":"2","key":"10.1016\/j.aott.2017.11.001_bib19","doi-asserted-by":"crossref","first-page":"139","DOI":"10.4055\/cios.2012.4.2.139","article-title":"Early results of one-stage correction for hip instability in cerebral palsy","volume":"4","author":"Kim","year":"2012","journal-title":"Clin Orthop Surg"},{"issue":"10","key":"10.1016\/j.aott.2017.11.001_bib20","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1302\/0301-620X.89B10.18446","article-title":"Bilateral hip reconstruction in severe whole-body cerebral palsy: ten-year follow-up results","volume":"89","author":"Barakat","year":"2007","journal-title":"J\u00a0Bone Jt Surg Br"},{"issue":"5","key":"10.1016\/j.aott.2017.11.001_bib21","doi-asserted-by":"crossref","first-page":"703","DOI":"10.2106\/00004623-199505000-00006","article-title":"The severely unstable hip in cerebral palsy. Treatment with open reduction, pelvic osteotomy, and femoral osteotomy with shortening","volume":"77","author":"Root","year":"1995","journal-title":"J\u00a0Bone Jt Surg Am"},{"issue":"1","key":"10.1016\/j.aott.2017.11.001_bib22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/01.bpo.0000242442.34553.c7","article-title":"The pediatric outcomes data collection instrument detects improvements for children with ambulatory cerebral palsy after orthopaedic intervention","volume":"27","author":"McMulkin","year":"2007","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"10","key":"10.1016\/j.aott.2017.11.001_bib23","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1017\/S0012162206001745","article-title":"Initial development and validation of the caregiver priorities and child health index of life with disabilities (CPCHILD)","volume":"48","author":"Narayanan","year":"2006","journal-title":"Dev Med Child Neurol"},{"issue":"4","key":"10.1016\/j.aott.2017.11.001_bib24","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1111\/dmcn.12641","article-title":"The central role of trunk control in the gross motor function of children with cerebral palsy: a retrospective cross-sectional study","volume":"57","author":"Curtis","year":"2014","journal-title":"Dev Med Child Neurol"},{"issue":"3","key":"10.1016\/j.aott.2017.11.001_bib25","doi-asserted-by":"crossref","first-page":"e60","DOI":"10.1111\/j.1469-8749.2009.03525.x","article-title":"Relationship between gross motor capacity and daily-life mobility in children with cerebral palsy","volume":"52","author":"Smits","year":"2010","journal-title":"Dev Med Child Neurol"},{"issue":"8","key":"10.1016\/j.aott.2017.11.001_bib26","doi-asserted-by":"crossref","first-page":"617","DOI":"10.3109\/09638288.2013.805820","article-title":"The efficacy of GMFM-88 and GMFM-66 to detect changes in gross motor function in children with cerebral palsy (CP): a literature review","volume":"36","author":"Alotaibi","year":"2014","journal-title":"Disabil Rehabil"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X16303601?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X16303601?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3327\/3274","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:45:21Z","timestamp":1763466321000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3327"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,6]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,1,1]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2017.11.001","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The effect of hip reconstruction on gross motor function levels in children with cerebral palsy","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2017.11.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}