Incidence of Femur Fracture Post Hardware Removal in Children With Cerebral Palsy Who Have Undergone Varus Derotational Osteotomy.

Background: Children with cerebral palsy (CP) often undergo hip reconstruction through proximal femoral varus derotation osteotomy (VDRO), with orthopaedic implants used for fixation. Posthealing, hardware may be retained or removed, either reactively due to complications or prophylactically. The controversy surrounding implant removal persists.

Identifying Opportunities for Early Detection of Cerebral Palsy.

This study aimed to evaluate assessment and referral practices for the early detection and diagnosis of children at risk for or with cerebral palsy (CP) by health care and education providers in Maryland and Delaware. A secondary aim was to identify barriers for using early detection tools and identify opportunities for change to support early diagnosis and improve care. Seventy-two participants answered ≥ 50% of the survey questions.

Bone alterations of pamidronate therapy in children with cerebral palsy complicating orthopedic management.

Cerebral palsy (CP) is a heterogeneous group of disorders with different clinical types and underlying genetic variants. Children with CP are at risk for fragility fractures secondary to low bone mineral density, and although bisphosphonates are prescribed for the treatment of children with bone fragility, there is limited information on long-term bone impact and safety. Children with CP usually present overtubulated bones, and the thickening of cortical bone by pamidronate treatment can potentially further narrow the medullary canal.