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John L. Dart Library
9 a.m. – 7 p.m.
Phone: (843) 722-7550
West Ashley Library
9 a.m. – 7 p.m.
Phone: (843) 766-6635
Folly Beach Library
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Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
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Phone: (843) 883-3914
Wando Mount Pleasant Library
9 a.m. – 8 p.m.
Phone: (843) 805-6888
Village Library
9 a.m. – 6 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. – 8 p.m.
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Otranto Road Library
9 a.m. – 8 p.m.
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Mt. Pleasant Library
9 a.m. – 8 p.m.
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McClellanville Library
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John's Island Library
9 a.m. – 8 p.m.
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Hurd/St. Andrews Library
9 a.m. – 8 p.m.
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Phone: (843) 805-6930
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Safety of the LCP Pediatric Hip Plate in Proximal Femoral Osteotomy in Children with Cerebral Palsy.
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- Author(s): Samarah, Omar Q; Shaheen, Majd A; Tehabsim, Rana A; Shaheen, Bayan A; Makahleh, Marah B; Almustafa, Mahmoud M; hadidi, Fadi A Al; Hussein, Lutfi A; Hammad, Yazan S
- Source:
Journal of Multidisciplinary Healthcare; Aug2020, Vol. 13, p779-784, 6p- Subject Terms:
- Source:
- Additional Information
- Subject Terms:
- Abstract: Purpose: Proximal femoral osteotomy in cerebral palsy patients is a demanding procedure. The fixation of the osteotomy can fail due to the weak osteoporotic bone. The LCP pediatric hip plate with its good grip makes these procedures safe. The aims of the present study are to evaluate the radiological outcome of proximal femoral osteotomy that was fixed with the pediatric LCP in cerebral palsy patients and to raise safety issues regarding its low rate of complications. Patients and Methods: Sixteen patients with cerebral palsy who were operated in our department were included in this retrospective study. Data collected from medical charts and X-ray measurements retrospectively reviewed. Results: In total, 16 patients (21 hips), ie, 9 males and 7 females, were included in this analysis. The mean age at the time of the index surgery was 11.9 years (5.9– 18.0). The mean follow-up period was 4.78 years (1.5– 8.0). Five patients had bilateral hip involvement and 11 had unilateral involvement. All patients had spastic cerebral palsy. The mean values of varus correction and de-rotation were 25° (0°– 45°) and 35° (20°– 50°), respectively. Neck shaft angle and the Reimer's migration index were significantly improved postoperatively (p< 0.01 for both). Seventeen hips showed complete consolidation within 14 weeks of fixation and four hips needed 16 weeks. These four hips were in three patients who were 16 years of age or older. The correlation between age at surgery and the time needed for consolidation was statistically significant (p=0.005). Avascular necrosis, revision surgeries, failure of fixation, acetabular penetration, screw loosening or fracture of the femur were not seen in this study. Conclusion: The LCP pediatric hip plate can be used safely in CP patients. The plate provides a strong stable fixation on osteoporotic bone with a low rate of complications. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Multidisciplinary Healthcare is the property of Dove Medical Press Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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