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Prevention of dislocation of the hip in children with cerebral palsy: 20-year results of a population-based prevention programme.

Hägglund, Gunnar LU ; Alriksson-Schmidt, Ann LU ; Lauge-Pedersen, Henrik LU ; Rodby Bousquet, Elisabet LU ; Wagner, Philippe LU and Westbom, Lena LU (2014) In The Bone & Joint Journal 96B(11). p.1546-1552
Abstract
In 1994 a cerebral palsy (CP) register and healthcare programme was established in southern Sweden with the primary aim of preventing dislocation of the hip in these children. The results from the first ten years were published in 2005 and showed a decrease in the incidence of dislocation of the hip, from 8% in a historical control group of 103 children born between 1990 and 1991 to 0.5% in a group of 258 children born between 1992 and 1997. These two cohorts have now been re-evaluated and an additional group of 431 children born between 1998 and 2007 has been added. By 1 January 2014, nine children in the control group, two in the first study group and none in the second study group had developed a dislocated hip (p < 0.001). The two... (More)
In 1994 a cerebral palsy (CP) register and healthcare programme was established in southern Sweden with the primary aim of preventing dislocation of the hip in these children. The results from the first ten years were published in 2005 and showed a decrease in the incidence of dislocation of the hip, from 8% in a historical control group of 103 children born between 1990 and 1991 to 0.5% in a group of 258 children born between 1992 and 1997. These two cohorts have now been re-evaluated and an additional group of 431 children born between 1998 and 2007 has been added. By 1 January 2014, nine children in the control group, two in the first study group and none in the second study group had developed a dislocated hip (p < 0.001). The two children in the first study group who developed a dislocated hip were too unwell to undergo preventive surgery. Every child with a dislocated hip reported severe pain, at least periodically, and four underwent salvage surgery. Of the 689 children in the study groups, 91 (13%) underwent preventive surgery. A population-based hip surveillance programme enables the early identification and preventive treatment, which can result in a significantly lower incidence of dislocation of the hip in children with CP. Cite this article: Bone Joint J 2014; 96-B:1546-52. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
The Bone & Joint Journal
volume
96B
issue
11
pages
1546 - 1552
publisher
British Editorial Society of Bone & Joint Surgery
external identifiers
  • pmid:25371472
  • wos:000345026600022
  • scopus:84922311356
ISSN
2049-4408
DOI
10.1302/0301-620X.96B11.34385
language
English
LU publication?
yes
id
2a8697b0-6e7d-48a6-a30d-aab872dceb3e (old id 4820238)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25371472?dopt=Abstract
date added to LUP
2014-12-01 19:10:05
date last changed
2017-11-05 03:12:08
@article{2a8697b0-6e7d-48a6-a30d-aab872dceb3e,
  abstract     = {In 1994 a cerebral palsy (CP) register and healthcare programme was established in southern Sweden with the primary aim of preventing dislocation of the hip in these children. The results from the first ten years were published in 2005 and showed a decrease in the incidence of dislocation of the hip, from 8% in a historical control group of 103 children born between 1990 and 1991 to 0.5% in a group of 258 children born between 1992 and 1997. These two cohorts have now been re-evaluated and an additional group of 431 children born between 1998 and 2007 has been added. By 1 January 2014, nine children in the control group, two in the first study group and none in the second study group had developed a dislocated hip (p &lt; 0.001). The two children in the first study group who developed a dislocated hip were too unwell to undergo preventive surgery. Every child with a dislocated hip reported severe pain, at least periodically, and four underwent salvage surgery. Of the 689 children in the study groups, 91 (13%) underwent preventive surgery. A population-based hip surveillance programme enables the early identification and preventive treatment, which can result in a significantly lower incidence of dislocation of the hip in children with CP. Cite this article: Bone Joint J 2014; 96-B:1546-52.},
  author       = {Hägglund, Gunnar and Alriksson-Schmidt, Ann and Lauge-Pedersen, Henrik and Rodby Bousquet, Elisabet and Wagner, Philippe and Westbom, Lena},
  issn         = {2049-4408},
  language     = {eng},
  number       = {11},
  pages        = {1546--1552},
  publisher    = {British Editorial Society of Bone & Joint Surgery},
  series       = {The Bone & Joint Journal},
  title        = {Prevention of dislocation of the hip in children with cerebral palsy: 20-year results of a population-based prevention programme.},
  url          = {http://dx.doi.org/10.1302/0301-620X.96B11.34385},
  volume       = {96B},
  year         = {2014},
}