{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T08:28:12Z","timestamp":1793521692315,"version":"4.5.0"},"reference-count":23,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T00:00:00Z","timestamp":1359676800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p> We reviewed the long-term radiological outcome, complications and revision operations in 19 children with quadriplegic cerebral palsy and hip dysplasia who underwent combined peri-iliac osteotomy and femoral varus derotation osteotomy. They had a mean age of 7.5\u00a0years (1.6 to 10.9) and comprised 22 hip dislocations and subluxations. We also studied the outcome for the contralateral hip. At a mean follow-up of 11.7 years (10 to 15.1) the Melbourne cerebral palsy (CP) hip classification was grade 2 in 16 hips, grade 3 in five, and grade 5 in one. There were five complications seen in four hips (21%, four patients), including one dislocation, one subluxation, one coxa vara with adduction deformity, one subtrochanteric fracture and one infection. A recurrent soft-tissue contracture occurred in five hips and ten required revision surgery. <\/jats:p><jats:p> In pre-adolescent children with quadriplegic cerebral palsy good long-term outcomes can be achieved after reconstruction of the hip; regular follow-up is required. <\/jats:p><jats:p> Cite this article: Bone Joint J 2013;95-B:259\u201365. <\/jats:p>","DOI":"10.1302\/0301-620x.95b2.30374","type":"journal-article","created":{"date-parts":[[2013,1,30]],"date-time":"2013-01-30T17:18:30Z","timestamp":1359566310000},"page":"259-265","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":57,"title":["Long-term outcome of reconstruction of the hip in young children with cerebral palsy"],"prefix":"10.1302","volume":"95-B","author":[{"given":"A. A.","family":"Dhawale","sequence":"first","affiliation":[{"name":"Nemours\/Alfred I duPont Hospital for Children, Department\rof Orthopaedics, 1600 Rockland Road, Wilmington, Delaware\r19803, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. F.","family":"Karatas","sequence":"additional","affiliation":[{"name":"Nemours\/Alfred I duPont Hospital for Children, Department\rof Orthopaedics, 1600 Rockland Road, Wilmington, Delaware\r19803, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Holmes","sequence":"additional","affiliation":[{"name":"Nemours\/Alfred I duPont Hospital for Children, Department\rof Orthopaedics, 1600 Rockland Road, Wilmington, Delaware\r19803, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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