Heterotopic ossification following hip osteotomies in cerebral palsy: Incidence and risk factors

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dc.contributor.authorInan, Muharrem
dc.contributor.authorChan, Gilbert
dc.contributor.authorDabney, Kirk
dc.contributor.authorMiller, Freeman
dc.date.accessioned2024-08-04T20:58:57Z
dc.date.available2024-08-04T20:58:57Z
dc.date.issued2006
dc.departmentİnönü Üniversitesien_US
dc.description.abstractThe aims Of this Study are, first, to determine the incidence of heterotopic ossification (HO) in patients with cerebral palsy (CP) who have undergone pelvic and/or proximal femoral osteotomies and, second, to identify any risk factors that may, contribute to its development in this patient population. The radiographs of 219 consecutive patients with CP who underwent proximal femoral osteotomies with or without pelvic osteotomies were reviewed. Risk factors including gender, age, and degree of involvement, ambulatory status, previous hip operations, bilateral hip surgery, capsular release, concomitant pelvic osteotomy. infection, and history of exuberant callus were evaluated. Thirty-five (16%) patients were diagnosed with HO and the 5 factors that cause HO were identified, which are degree of involvement (quadriplegic), ambulatory status, capsular release, infection, and previous hip operations. Based on logistic regression analysis. if a patient had quadriplegic type of CP, then they have 17.5 times more risk for HO than a patient with hemiplegic type, and capsular release increases the risk 237 times. Although HO Occurred in 16% of patients treated with bony procedures in the hip, in a small group (2%) of children it had a clinically significant limitation requiring surgical resection. In this Study, clear risk factors were presented for the development of HO; however, none of these risk factors can be altered in ways that will reduce the risk for HO. These risk factors might be used to define a high-risk group in whom attempts at prophylactic treatment lot, prevention of HO Could be initiated.en_US
dc.identifier.doi10.1097/01.bpo.0000217725.16417.af
dc.identifier.endpage556en_US
dc.identifier.issn0271-6798
dc.identifier.issn1539-2570
dc.identifier.issue4en_US
dc.identifier.pmid16791079en_US
dc.identifier.startpage551en_US
dc.identifier.urihttps://doi.org/10.1097/01.bpo.0000217725.16417.af
dc.identifier.urihttps://hdl.handle.net/11616/103301
dc.identifier.volume26en_US
dc.identifier.wosWOS:000238740000024en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Pediatric Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectheterotopic ossificationen_US
dc.subjectcerebral palsyen_US
dc.subjecthip osteotomyen_US
dc.titleHeterotopic ossification following hip osteotomies in cerebral palsy: Incidence and risk factorsen_US
dc.typeArticleen_US

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