Related Experiment Video
Updated: Aug 7, 2026
07:45
The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
[Total hip arthroplasty in cerebral palsy]
C M Schörle1, G Fuchs, G Manolikakis
1Orthopädische Klinik Wichernhaus, Krankenhaus Rummelsberg, Rummelsberg 71, 90592 Schwarzenbruck. schoerle.cornelius@rummelsberger.net
Der Orthopade
|July 4, 2006
Summary
Total hip replacement (THR) significantly improved walking ability and reduced pain in cerebral palsy patients with hip osteoarthritis. This effective surgical option offers better outcomes than femoral head resection for selected individuals.
Area of Science:
- Orthopedic Surgery
- Rehabilitation Medicine
- Cerebral Palsy Research
Background:
- Cerebral palsy (CP) hip osteoarthritis requires tailored treatment considering patient-specific factors.
- Femoral head resection is effective for immobilized patients but less so for those with moderate spasticity and walking ability.
Purpose of the Study:
- To investigate the outcomes of total hip replacement (THR) in patients with tetraspastic cerebral palsy.
- To evaluate THR as a treatment for secondary hip osteoarthritis in CP.
Main Methods:
- Retrospective study of 19 total hip arthroplasties in 175 patients with cerebral palsy.
- Average follow-up period of 4.6 years.
Main Results:
- Significant improvement in walking ability was observed in all patients.
- 84% of patients reported being pain-free post-surgery.
- Complications included aseptic loosening of the femoral component (1 patient) and periprosthetic fracture (1 patient).
Conclusions:
- Total hip arthroplasty is a valuable surgical option for selected, cooperative cerebral palsy patients with secondary hip osteoarthritis.
- THR offers significant pain reduction and improved walking ability compared to femoral head resection.
- Contraindications include severe athetosis, inadequate weight-bearing capacity, and severe pelvic obliquity.