Surgical Management of Hip Problems in Myelomeningocele: A Review Article
Publish place: The Archives of Bone and Joint Surgery، Vol: 4، Issue: 3
Publish Year: 1395
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_TABO-4-3_001
تاریخ نمایه سازی: 9 شهریور 1400
Abstract:
Background: Children with myelomeningocele (MMC) develop a wide variety of hip deformities such as muscle imbalance, contracture, subluxation, and dislocation. Various methods and indications have been introduced for treatment of muscle imbalances and other hip problems in patients with MMC but there is no study or meta-analysis to compare the results and complications. This review aims to find the most acceptable approach to hip problems in patients with MMC. Methods: MEDLINE was searched up to April ۲۰۱۵. All study designs that reported on the outcomes of hip problems in MMC were included. From ۲۷۰ screened citations, ۵۵ were strictly focused on hip problem in MMC were selected and reviewed. Results: Complex osseous and soft tissue reconstructive procedures to correct hip dysplasia and muscle balancing around the hip are rarely indicated for MMC patients without good quadriceps power. Conclusion: Over the years a consensus on the best algorithm for treatment of hip dislocation in myelomeningocele has been missing, however, muscular balancing with/out osseous procedure seems a reasonable approach especially in unilateral mid-lumbar MMC.
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Authors
Taghi Baghdadi
Emam Educational Hospital, Tehran University of Medical Science, Tehran, Iran
Reza Abdi
Emam Educational Hospital, Tehran University of Medical Science, Tehran, Iran
Ramin zargarbashi
Children’s Medical Center, Tehran University of Medical Science, Tehran, Iran
Hossein Aslani
Shohada Educational Hospital, Golshahr Town, Tabriz, Iran
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