Femoral varus-derotation osteotomy in spastic cerebral palsy.

Twenty children (twenty hips) with spastic cerebral palsy underwent femoral varus-derotation osteotomy for which the principal indication was inadequate coverage of the femoral head. Other infrequent indications included pain, valgus angulation of the femoral neck, and dislocation of the hip. The age at surgery ranged from four to fifteen years.

10-year follow-up of split anterior tibial tendon transfer in cerebral palsied patients with spastic equinovarus deformity.

Split anterior tibial tendon transfer was performed on 21 patients (27 feet) with cerebral palsy and spastic equinovarus deformity. All patients required orthoses preoperatively. All but two patients are now community ambulators with improved gait and without need for orthoses.

Supracondylar derotational osteotomy of the femur for internal rotation of the thigh in the cerebral palsied child.

Residual internal rotation of the thigh during gait in eleven patients with cerebral palsy was corrected by supracondylar femoral osteotomy. This procedure was performed in those few children who had attained relative muscle balance and who had stable hips.

Proximal femoral resection or total hip replacement in severely disabled cerebral-spastic patients.

1. Our understanding of the mechanism and origin of pain in degenerative arthritis of the hip is incomplete at this time, whether we are dealing with a neurologically intact individual or a person who has spasticity of cerebral origin. 2.