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Patients with cerebral palsy, acquired spasticity can benefit from THA
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Patients with upper motor neuron disorders demonstrated marked improvement in objective and subjective measures, including pain relief, function and mobility, after total hip arthroplasty, according to study results.
Researchers retrospectively evaluated the medical records from 30 total hip arthroplasties (THAs) for the treatment of hip arthritis in 27 patients with a history of cerebral palsy or acquired spasticity. Average postoperative follow-up was 2.5 years.
Following THA, patients had statistically significant improvements in pain scores, Harris Hip scores and range of motion, according to the researchers. Whereas all patients had rated their preoperative pain as severe, 14 patients reported minimal hip pain, 11 reported mild-to-moderate hip pain and only three reported severe hip pain following surgery.
The researchers found mobility improved in nearly all patients following surgery, and statistically significant improvements were also seen in ambulatory status and use of ambulatory-assistive devices.
Compared with patients with acquired spasticity, study results showed patients with cerebral palsy experienced higher degrees of flexion and adduction contractures, required simultaneous adductor release more frequently at the time of THA, and had a higher rate of flexor lengthening. However, patients with acquired spasticity required excision of heterotopic bone, according to the researchers.
Disclosure: Lee is a paid employee of Stryker.
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