{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T19:42:23Z","timestamp":1785872543024,"version":"3.56.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Progressive hip displacement is one of the most common and debilitating deformities seen in children with cerebral palsy (CP). The aim of this study was to evaluate the results of temporary medial hemiepiphysiodesis of the proximal femur (TMH-PF) using a transphyseal screw to control hip migration during growth in children with CP.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>This was a retrospective study of children with CP and hip dysplasia, age 4 to 11 years and GMFCS levels III-V. There were 28 patients with 56 hips that underwent TMH-PF surgery between 2007 and 2010. Clinical and radiologic evaluation was performed preoperatively, at 6, 12, and 60 months following the index surgery. Acetabular index (AI), neck-shaft angle (NSA) and migration percentage (MP) were measured. All complications were recorded.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>All radiographic measurements were significantly improved at the final follow-up. Positive correlations were found between NSA, MP, and AI. Multiple regression analysis revealed that MP, time from surgery, and age were influenced by the decrease of the NSA. The femoral physis grew off the screw in 9 hips within 36 months. The screw head broke during attempted screw exchange in 1 hip. The remain cases (4 hips) were treated by placing a second screw parallel to the existing one. Finally, progressive subluxation occurred in 3 hips when the physis grew off the screw and were treated by skeletal reconstruction.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>TMH-PF was effective in controlling progressive subluxation of the hip in the majority of cases, obviating the need for major reconstructive surgery in these children with CP.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Level IV.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bpo.0000000000001069","type":"journal-article","created":{"date-parts":[[2017,9,8]],"date-time":"2017-09-08T21:01:42Z","timestamp":1504904502000},"page":"e622-e628","source":"Crossref","is-referenced-by-count":52,"title":["Guided Growth of the Proximal Femur for the Management of Hip Dysplasia in Children With Cerebral Palsy"],"prefix":"10.1097","volume":"39","author":[{"given":"Nicola","family":"Portinaro","sequence":"first","affiliation":[{"name":"Department of Paediatric Orthopaedics and Neuro-orthopaedics"},{"name":"Department of Translational Medicine, Orthopedic and Traumatology Clinic, Humanitas Research Hospital, University of Milan, Rozzano, Milan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Turati","sequence":"additional","affiliation":[{"name":"Orthopedic Department, San Gerardo Hospital"},{"name":"Department of Paediatric Orthopedic Surgery, Hopital Couple Enfants, Grenoble Alpes University, Grenoble, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Cometto","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics and Neuro-orthopaedics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Bigoni","sequence":"additional","affiliation":[{"name":"Orthopedic Department, San Gerardo Hospital"},{"name":"Department of Medicine and Surgery, University of Milano, Bicocca, Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon R.","family":"Davids","sequence":"additional","affiliation":[{"name":"Shriners Hospital for Children Northern California, Sacramento, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artemisia","family":"Panou","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics and Neuro-orthopaedics"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230829","doi-asserted-by":"crossref","first-page":"101","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"},{"key":"R2-20230829","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1111\/j.1469-8749.2012.04385.x","article-title":"The natural history of hip development in cerebral palsy","volume":"54","author":"Terjesen","year":"2012","journal-title":"Dev Med Child Neurol"},{"key":"R3-20230829","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 Bone Joint Surg Br"},{"key":"R4-20230829","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1302\/0301-620X.97B2.34280","article-title":"Avascular necrosis as a complication of the treatment of dislocation of the hip in children with cerebral palsy","volume":"97-B","author":"Koch","year":"2015","journal-title":"Bone Joint J"},{"key":"R5-20230829","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.2106\/JBJS.M.01000","article-title":"Recurrence of hip instability after reconstructive surgery in patients with cerebral palsy","volume":"96","author":"Bayusentono","year":"2014","journal-title":"J Bone Joint Surg"},{"key":"R6-20230829","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1007\/s11832-015-0681-9","article-title":"Caput valgum associated with developmental dysplasia of the hip: management by transphyseal screw fixation","volume":"9","author":"Torode","year":"2015","journal-title":"J Child Orthop"},{"issue":"suppl 6","key":"R7-20230829","doi-asserted-by":"crossref","first-page":"S69","DOI":"10.1177\/112070000901906s12","article-title":"D.D.S.H.: developmental dysplasia of the spastic hip: strategies of management in cerebral palsy. 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