{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T13:09:29Z","timestamp":1744290569635},"reference-count":20,"publisher":"Royal College of Surgeons of England","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p> Children with paralytic hip subluxation secondary to spastic cerebral palsy were treated with a standard protocol that depended on early detection of the subluxation using clinical examination detecting limited range of hip abduction of \u2264 30\u00b0 and anteroposterior pelvis radiographs detecting subluxation \u2265 33% migration as indications. <\/jats:p><\/jats:sec><jats:sec><jats:title>PATIENTS AND METHODS<\/jats:title><jats:p> Patients underwent open adductor longus, proximal gracilis and proximal rectus femoris myotomy, and iliopsoas lengthening with immediate postoperative immobilisation in abduction bar for 3 weeks followed by physiotherapy. The protocol was applied to 50 children with a mean age of 3.6 years with 100 hips surgically corrected. Of these hips initially, 52% were mildly subluxated with \u2264 33% migration, 42% were moderately subluxated with &gt; 33\u201366% migration, and 6% were severely subluxated with &gt; 66% migration. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> At a final postoperative follow-up of at least 24 months, 22% of these hips were classified as excellent with full containment and no migration, 54% were good with &lt; 20% migration, and 24% were fair with 20\u201325% migration. No poor result with &gt; 25% migration was obtained. No child developed an abduction contracture or wide-based gait that required treatment. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p> Early detection and application of this treatment algorithm for children with spastic hip disease should have satisfactory outcomes. Longer follow-up will be required to determine how many children will need bony reconstruction to maintain stable containment of hips at maturity. <\/jats:p><\/jats:sec>","DOI":"10.1308\/003588408x261555","type":"journal-article","created":{"date-parts":[[2008,2,29]],"date-time":"2008-02-29T00:55:07Z","timestamp":1204246507000},"page":"127-132","source":"Crossref","is-referenced-by-count":11,"title":["Short-Term Results of Musculotendinous Release for Paralytic Hip Subluxation in Children with Spastic Cerebral Palsy"],"prefix":"10.1308","volume":"90","author":[{"given":"Sherif NG","family":"Bishay","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, National Institute of Neuromotor System Imbaba, Giza, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200401000-00009"},{"key":"b2","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/S0030-5898(20)31498-X","volume":"11","author":"Bleck EE","year":"1980","journal-title":"Orthop Clin North Am"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000217727.93546.2b"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200307000-00021"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1097\/00004694-199907000-00011"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567080-00014"},{"key":"b7","first-page":"465","volume-title":"Lovell and Winter's Pediatric Orthopedics","author":"Rang M","year":"1990","edition":"3"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200109000-00022"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200209000-00017"},{"key":"b10","first-page":"1121","volume-title":"Tachdjian's Pediatric Orthopedics","author":"Herring JA","year":"2002","edition":"3"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200005000-00019"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200203000-00004"},{"key":"b13","first-page":"74","volume":"25","author":"McMulkin ML","year":"2005","journal-title":"J Pediatr Orthop"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199709000-00003"},{"key":"b15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1995.tb12028.x"},{"key":"b16","doi-asserted-by":"publisher","DOI":"10.3109\/ort.1980.51.suppl-184.01"},{"key":"b17","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199107000-00002"},{"key":"b18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1985.tb04520.x"},{"key":"b19","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.C.01099"},{"key":"b20","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000235391.26666.b0"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/003588408X261555","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T09:58:19Z","timestamp":1684144699000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/003588408X261555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,3]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,3]]}},"alternative-id":["10.1308\/003588408X261555"],"URL":"https:\/\/doi.org\/10.1308\/003588408x261555","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,3]]}}}