Effects of Soft Tissue Surgery on Pelvic and Hip Rotation in Patients with Spastic Diplegia: A Meta-Analysis

Overview

Journal Clin Orthop Surg

Specialty Orthopedics

Date 2016 Jun 2

PMID 27247745

Citations 3

Authors

Hun Jae Jung

Ji Yeon Yoon

Min Kyung Oh

Young Chang Kim

Jae Hyun Kim

Tae Woong Eom

Kun Bo Park

Affiliations

Soon will be listed here.

Abstract

Background: There are several different opinions regarding the improvements seen on the transverse plane after soft tissue surgery alone in independently ambulant patients with cerebral palsy. We performed a meta-analysis using data from previous studies to identify the effects of soft tissue surgery alone on pelvic and hip rotation in children with spastic diplegia.

Methods: We conducted a pilot study to evaluate the improvement in pelvic and hip rotation after muscle-tendon lengthening surgery in children with spastic diplegia. We also searched EMBASE and PubMed and selected 2 previous studies using the same test conditions with kinematic data on the pelvis and hip joints. A meta-analysis of the results of these 3 studies, including this pilot study, was then performed.

Results: The meta-analysis results showed an external rotation decrease (p = 0.005) in the mean difference of pelvic rotation of -3.61 (95% confidence interval [CI], -6.13 to -1.09) and a mean difference in hip rotation of 6.60 (95% CI, 3.34 to 9.86), indicating a significant increase in the hip external rotation after surgery (p < 0.001).

Conclusions: In independently community-ambulant pediatric patients with spastic diplegia, pelvic retraction and hip internal rotation could be improved after soft tissue surgery.

Citing Articles

Predictors of Changes in Pelvic Rotation after Surgery with or without Femoral Derotational Osteotomy in Ambulatory Children with Cerebral Palsy.

Hara R, Rethlefsen S, Wren T, Kay R Bioengineering (Basel). 2023; 10(10).

PMID: 37892944 PMC: 10604869. DOI: 10.3390/bioengineering10101214.

State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy.

Novak I, Morgan C, Fahey M, Finch-Edmondson M, Galea C, Hines A Curr Neurol Neurosci Rep. 2020; 20(2):3.

PMID: 32086598 PMC: 7035308. DOI: 10.1007/s11910-020-1022-z.

Effects of soft tissue surgery on transverse kinematics in patients with cerebral palsy.

Park B, Chung C, Park M, Lee K, Cho S, Sung K BMC Musculoskelet Disord. 2019; 20(1):566.

PMID: 31775715 PMC: 6882030. DOI: 10.1186/s12891-019-2955-8.

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