Pain and rehabilitation problems after single-event multilevel surgery including bony foot surgery in cerebral palsy. A series of 7 children.

Abstract:

BACKGROUND AND PURPOSE:Surgical correction of foot deformities as part of single-event multilevel surgery (SEMLS) to optimize postoperative training is sometimes indicated in ambulatory children with cerebral palsy. We have, however, experienced excessive postoperative pain and rehabilitation problems in a number of these patients. We therefore investigated children who underwent such procedures regarding postoperative rehabilitation and pain, gait parameters 1 year after surgery, and mobility 5 years after surgery. PATIENTS AND METHODS:9 children with diplegic cerebral palsy who had also undergone bony foot surgery were identified from a cohort of 70 children treated with SEMLS according to a standardized protocol. 2 children were excluded due to mental retardation and atypical surgery, and 7 patients (4 of them boys) were included. The children and their parents underwent a semi-structured interview on average 5 (3-7) years after the surgery. Gait parameters preoperatively and 1 year postoperatively were compared. RESULTS:5 children had experienced regional pain syndrome and considerable sociopsychological problems during the first postoperative year. 5 years after surgery, 4 of the 5 children still had hypersensitive and painful feet, 2 had lost their ability to walk, 1 child was no longer self-reliant in daily care, and 3 were wheelchair bound. There were, however, no clinically significant differences in functional mobility scale (FMS) or gait parameters preoperatively and 1 year postoperatively. INTERPRETATION:We found troublesome postoperative rehabilitation and poor outcomes in this series of children who had undergone simultaneous multilevel surgeries and bony foot corrections. Caution is warranted when treating marginally ambulatory children with bilateral spastic cerebral palsy and foot deformities.

journal_name

Acta Orthop

journal_title

Acta orthopaedica

authors

Høiness PR,Capjon H,Lofterød B

doi

10.3109/17453674.2014.960141

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

646-51

issue

6

eissn

1745-3674

issn

1745-3682

journal_volume

85

pub_type

杂志文章
  • Transient expression of myofibroblast-like cells in rat rib fracture callus.

    abstract:BACKGROUND AND PURPOSE:We have previously shown that early fracture callus of rat rib has viscoelastic and contractile properties resembling those of smooth muscle. The cells responsible for this contractility have been hypothesized to be myofibroblast-like in nature. In soft-tissue healing, force generated by contract...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2011.652891

    authors: McDonald SJ,Dooley PC,McDonald AC,Schuijers JA,Ward AR,Grills BL

    更新日期:2012-02-01 00:00:00

  • No effect of ketoprofen and meloxicam on bone graft ingrowth: a bone chamber study in goats.

    abstract:BACKGROUND AND PURPOSE:There is increasing awareness that non-steroidal anti-inflammatory drugs (NSAIDs), and especially the cyclooxygenase-2 (COX-2) selective ones, may retard bone healing. We have used NSAIDs (indomethacin for at least 7 days) to prevent heterotopic ossification after acetabular reconstructions using...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670710015562

    authors: van der Heide HJ,Hannink G,Buma P,Schreurs BW

    更新日期:2008-08-01 00:00:00

  • Minor influence of patient education and physiotherapy interventions before total hip replacement on patient-reported outcomes: an observational study of 30,756 patients in the Swedish Hip Arthroplasty Register.

    abstract::Background and purpose - It is unclear whether physiotherapy interventions or patient education before total hip replacement (THR) is beneficial for patients postoperatively. Utilizing the Swedish Hip Arthroplasty Register (SHAR), we retrospectively studied the influence of preoperative self-reported exposure to physi...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2019.1605669

    authors: Torisho C,Mohaddes M,Gustafsson K,Rolfson O

    更新日期:2019-08-01 00:00:00

  • An increase in myeloid cells after severe injury is associated with normal fracture healing: a retrospective study of 62 patients with a femoral fracture.

    abstract::Background and purpose-Nonunion is common in femoral fractures. Previous studies suggested that the systemic immune response after trauma can interfere with fracture healing. Therefore, we investigated whether there is a relation between peripheral blood cell counts and healing of femur fractures. Patients and methods...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2018.1501974

    authors: Hesselink L,Bastian OW,Heeres M,Ten Berg M,Huisman A,Hoefer IE,van Solinge WW,Koenderman L,van Wessem KJP,Leenen LPH,Hietbrink F

    更新日期:2018-10-01 00:00:00

  • Changes in lower limb rotation after soft tissue surgery in spastic diplegia.

    abstract:BACKGROUND AND PURPOSE:Rotational osteotomies are usually necessary to correct pronounced rotational deformities in ambulant children with cerebral palsy. The effects of soft tissue surgery on such deformities are unclear. In this retrospective study, we determined whether multilevel soft tissue surgery, performed to c...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453671003587135

    authors: Lofterød B,Terjesen T

    更新日期:2010-04-01 00:00:00

  • Different osteosyntheses for Colles' fracture: a mechanical study in 42 cadaver bones.

    abstract:BACKGROUND AND PURPOSE:In recent years several different plate designs for internal fixation of fractures of the distal radius have been developed. However, few biomechanical studies have been performed to compare these new implants. The purpose of this study was to compare the mechanical properties of 5 different comm...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453670902947440

    authors: Krukhaug Y,Gjerdet NR,Lundberg OJ,Lilleng PK,Hove LM

    更新日期:2009-04-01 00:00:00

  • Patients undergoing shoulder arthroplasty for failed nonoperative treatment of proximal humerus fracture have low implant survival and low patient-reported outcomes: 837 cases from the Danish Shoulder Arthroplasty Registry.

    abstract::Background and purpose - When nonoperative treatment of proximal humerus fracture (PHF) fails, shoulder arthroplasty may be indicated. We investigated risk factors for revision and evaluated patient-reported outcome 1 year after treatment with either stemmed hemiarthroplasty (SHA) or reverse total shoulder arthroplast...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1730660

    authors: Mechlenburg I,Rasmussen S,Unbehaun D,Amundsen A,Rasmussen JV

    更新日期:2020-06-01 00:00:00

  • Long-term psychosocial functioning after Ilizarov limb lengthening during childhood.

    abstract:BACKGROUND AND PURPOSE:Few studies have been concerned with the patient's perception of the outcome of limb lengthening. We describe the psychological and social functioning after at least 2 years of follow-up in patients who had had a leg length discrepancy and who had undergone an Ilizarov limb lengthening procedure....

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453670903473024

    authors: Moraal JM,Elzinga-Plomp A,Jongmans MJ,Roermund PM,Flikweert PE,Castelein RM,Sinnema G

    更新日期:2009-12-01 00:00:00

  • Migration and clinical outcome of mobile-bearing versus fixed-bearing single-radius total knee arthroplasty.

    abstract::Background and purpose - Mobile-bearing total knee prostheses (TKPs) were developed in the 1970s in an attempt to increase function and improve implant longevity. However, modern fixed-bearing designs like the single-radius TKP may provide similar advantages. We compared tibial component migration measured with radios...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/17453674.2018.1429108

    authors: Van Hamersveld KT,Marang-Van De Mheen PJ,Van Der Heide HJL,Van Der Linden-Van Der Zwaag HMJ,Valstar ER,Nelissen RGHH

    更新日期:2018-04-01 00:00:00

  • Tourniquet cuff pressure and nerve injury in knee arthroplasty in a bloodless field: a neurophysiological study.

    abstract:BACKGROUND AND PURPOSE:Tourniquet-related nerve injuries remain a concern in orthopedic surgery. The cuff pressures used today are generally lower, and therefore a decreasing incidence of peripheral nerve injuries might also be expected. However, there have been few neurophysiological studies describing the outcome aft...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/17453674.2013.782525

    authors: Olivecrona C,Blomfeldt R,Ponzer S,Stanford BR,Nilsson BY

    更新日期:2013-04-01 00:00:00

  • Similar outcome for total knee arthroplasty after previous high tibial osteotomy and for total knee arthroplasty as the first measure.

    abstract::Background and purpose - Patients having a total knee arthroplasty (TKA) after a previous high tibial osteotomy (HTO) constitute a minor group among those undergoing primary TKA for knee osteoarthritis (OA). There have been few reports on whether such patients differ pre- and postoperatively from those who undergo TKA...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2016.1195663

    authors: W-Dahl A,Robertsson O

    更新日期:2016-08-01 00:00:00

  • Open reduction and internal fixation compared to closed reduction and external fixation in distal radial fractures: a randomized study of 50 patients.

    abstract:BACKGROUND AND PURPOSE:In unstable distal radial fractures that are impossible to reduce or to maintain in reduced position, the treatment of choice is operation. The type of operation and the choice of implant, however, is a matter of discussion. Our aim was to investigate whether open reduction and internal fixation ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/17453670903171875

    authors: Abramo A,Kopylov P,Geijer M,Tägil M

    更新日期:2009-08-01 00:00:00

  • Metal ion levels and functional results after either resurfacing hip arthroplasty or conventional metal-on-metal hip arthroplasty.

    abstract:BACKGROUND:Modern metal-on-metal hip resurfacing was introduced as a bone-preserving method of joint reconstruction for young and active patients; however, the large diameter of the bearing surfaces is of concern for potentially increased metal ion release. PATIENTS AND METHODS:71 patients (< 65 years old) were random...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/17453674.2011.625533

    authors: Smolders JM,Hol A,Rijnberg WJ,van Susante JL

    更新日期:2011-10-01 00:00:00

  • Uncemented metal-on-metal acetabular component: follow-up of 112 hips for a minimum of 5 years.

    abstract:BACKGROUND:Aseptic loosening is the major cause of implant failure. In cemented hip arthroplasty, failure of the acetabular side is mainly due to lysis caused by wear particles. By using an implant with low wear characteristics and by enhancing acetabular fixation using an uncemented implant, we aimed to reduce acetabu...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670710014103

    authors: Vassan UT,Sharma S,Chowdary KP,Bhamra MS

    更新日期:2007-08-01 00:00:00

  • How do EQ-5D-3L and EQ-5D-5L compare in a Swedish total hip replacement population?

    abstract::Background and purpose - To better detect small changes in postoperative outcome following total hip replacement (THR), the Swedish Hip Arthroplasty Register (SHAR) has decided to change from the EQ-5D-3L (3L) to the EQ-5D-5L (5L). To enable comparison of results obtained with use of the 2 versions of EQ-5D, transfera...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1746124

    authors: Eneqvist T,Nemes S,Kärrholm J,Burström K,Rolfson O

    更新日期:2020-06-01 00:00:00

  • Detection of gene expression in synovium of patients with osteoarthritis using a random sequencing method.

    abstract:BACKGROUND:The etiology of osteoarthritis (OA) is multifactorial and current research attributes it to a complex network of biochemical factors. We attempted to identify important molecules in OA joint destruction. PATIENTS AND METHODS:Synovium was collected from 2 women with hip OA. Total RNA was extracted from the c...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670710014400

    authors: Okabe T,Ohmori Y,Tanigami A,Hishigaki H,Suzuki Y,Sugano S,Kawaguchi A,Nakaya H,Wakitani S

    更新日期:2007-10-01 00:00:00

  • Tartrate-resistant acid phosphatase 5b (TRAP 5b) as a marker of osteoclast activity in the early phase after cementless total hip replacement.

    abstract:BACKGROUND:After total hip replacement, increased bone metabolism is seen. A local periprosthetic osteopenia can be measured by dual-energy X-ray absorptiometry (DXA), but it is still unkown whether biochemical markers can be used to monitor the local remodeling at an earlier stage. PATIENTS AND METHODS:In this prospe...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670710013717

    authors: Habermann B,Eberhardt C,Feld M,Zichner L,Kurth AA

    更新日期:2007-04-01 00:00:00

  • HipSim - hip fracture surgery simulation utilizing the Learning Curve-Cumulative Summation test (LC-CUSUM).

    abstract::Background and purpose - Virtual reality simulation of hip fracture surgery is available for orthopedic residents nationwide in Denmark. Summative assessment of learning applying the learning curve cumulative summation test (LC-CUSUM) has not been utilized in orthopedic simulation training. The strength of the LC-CUSU...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1777511

    authors: Rölfing JD,Jensen RD,Paltved C

    更新日期:2020-12-01 00:00:00

  • Epidemiology and treatment of distal radius fractures in Reykjavik, Iceland, in 2004. Comparison with an Icelandic study from 1985.

    abstract:BACKGROUND AND PURPOSE:Recent literature suggests that the incidence and treatment modalities of distal radius fractures have been changing over the past 2 decades in the developed world. We examined the epidemiology of adult distal radius fractures in Iceland in 2004 and compared it with an Icelandic study from 1985 a...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2011.606074

    authors: Sigurdardottir K,Halldorsson S,Robertsson J

    更新日期:2011-08-01 00:00:00

  • Comparison of vacuum-formed removable rigid dressing with conventional rigid dressing after transtibial amputation: similar outcome in a randomized controlled trial involving 27 patients.

    abstract:BACKGROUND AND PURPOSE:Following transtibial amputation, a rigid dressing of plaster of Paris has been reported to have advantages over a soft dressing regarding wound healing and reduction of edema, but use of the former may be limited by difficulties in application and in gaining access to the wound. An easily applic...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/17453670710015265

    authors: Johannesson A,Larsson GU,Oberg T,Atroshi I

    更新日期:2008-06-01 00:00:00

  • Poor results from the isoelastic total hip replacement: 14-17-year follow-up of 149 cementless prostheses.

    abstract:BACKGROUND:To overcome the mismatch between a stiff stem and the more elastic bone, the concept of isoelasticity was introduced in the 1970s. This concept was based on the assumption that the implant and the bone should deform as one unit to avoid stress shielding. The Robert Mathys (RM) cementless total hip replacemen...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/00016470510030535

    authors: Trebse R,Milosev I,Kovac S,Mikek M,Pisot V

    更新日期:2005-04-01 00:00:00

  • 5-year experience of highly cross-linked polyethylene in cemented and uncemented sockets: two randomized studies using radiostereometric analysis.

    abstract:BACKGROUND:Laboratory tests and early clinical studies have shown that highly cross-linked polyethylene (PE) markedly improves wear resistance compared to conventional PE. We evaluated this type of PE in two randomized clinical studies using radiostereometric analysis (RSA). The 2- and 3-year follow-up of these studies...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/17453670710014518

    authors: Digas G,Kärrholm J,Thanner J,Herberts P

    更新日期:2007-12-01 00:00:00

  • Thermal epiphysiodesis performed with radio frequency in a porcine model.

    abstract:BACKGROUND AND PURPOSE:Current techniques for epiphysiodesis involve opening of cortical windows; use of staples, screws, and tension devices; and fusion with curettes or drills. Complications may have serious consequences. There is a need for a more reliable, precise, and less traumatic procedure that overcomes the kn...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.939014

    authors: Shiguetomi-Medina JM,Rahbek O,Abood AA,Stødkilde-Jørgensen H,Møller-Madsen B

    更新日期:2014-09-01 00:00:00

  • Gait improvement surgery in ambulatory children with diplegic cerebral palsy.

    abstract:BACKGROUND AND PURPOSE:Instrumented 3-D gait analyses (GA) in children with cerebral palsy (CP) have shown improved gait function 1 year postoperatively. Using GA, we assessed the outcome after 5 years and evaluated parental satisfaction with the surgery and the need for additional surgery. PATIENTS AND METHODS:34 amb...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2015.1011927

    authors: Terjesen T,Lofterød B,Skaaret I

    更新日期:2015-01-01 00:00:00

  • Effective radiation dose in radiostereometric analysis of the hip.

    abstract::Background and purpose - Radiostereometric analysis (RSA) is the gold standard to study micromotion of joint replacements. RSA requires the acquisition of additional radiographs increasing the radiation dose of patients included in RSA studies. It is important to keep this dose as low as possible. Effective radiation ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1767443

    authors: Blom IF,Koster LA,Brinke BT,Mathijssen NMC

    更新日期:2020-08-01 00:00:00

  • Risk of reoperation within 12 months following osteosynthesis of a displaced femoral neck fracture is linked mainly to initial fracture displacement while risk of death may be linked to bone quality: a cohort study from Danish Fracture Database.

    abstract::Background and purpose - Most guidelines use patient age as a primary decision factor when choosing between osteosynthesis or arthroplasty in displaced femoral neck fractures. We evaluate reoperation and death risk within 1 year after osteosynthesis, and estimate the influence of age, sex, degree of displacement, and ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2019.1698503

    authors: Nyholm AM,Palm H,Sandholdt H,Troelsen A,Gromov K,DFDB COLLABORATORS.

    更新日期:2020-02-01 00:00:00

  • Survivorship and relative risk of revision in computer-navigated versus conventional total knee replacement at 8-year follow-up.

    abstract::Background and purpose - The long-term effects of computer-assisted surgery in total knee replacement (CAS) compared to conventionally operated knee replacement (CON) are still not clear. We compared survivorship and relative risk of revision in CAS and CON based on data from the Norwegian Arthroplasty Register. Patie...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,多中心研究

    doi:10.1080/17453674.2016.1244884

    authors: Dyrhovden GS,Fenstad AM,Furnes O,Gøthesen Ø

    更新日期:2016-12-01 00:00:00

  • Elevation of circulating HLA DR(+) CD8(+) T-cells and correlation with chromium and cobalt concentrations 6 years after metal-on-metal hip arthroplasty.

    abstract:BACKGROUND AND PURPOSE:Following metal-on-metal hip arthroplasty (THA), immunological reactions including changes in lymphocyte populations, aseptic loosening, and lymphocytic pseudotumors occur. We hypothesized that changes in lymphocyte subpopulations would be associated with elevated metal ion concentrations. METHO...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/17453674.2010.548028

    authors: Hailer NP,Blaheta RA,Dahlstrand H,Stark A

    更新日期:2011-02-01 00:00:00

  • Bone mineral density of the femoral neck in resurfacing hip arthroplasty.

    abstract:BACKGROUND AND PURPOSE:Resurfacing total hip arthroplasty (RTHA) may preserve the femoral neck bone stock postoperatively. Bone mineral density (BMD) may be affected by the hip position, which might bias longitudinal studies. We investigated the dependency of BMD precision on type of ROI and hip position. METHOD:We DX...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2010.480935

    authors: Penny JØ,Ovesen O,Brixen K,Varmarken JE,Overgaard S

    更新日期:2010-06-01 00:00:00

  • Increased use of total shoulder arthroplasty for osteoarthritis and improved patient-reported outcome in Denmark, 2006-2015: a nationwide cohort study from the Danish Shoulder Arthroplasty Registry.

    abstract::Background and purpose - Osteoarthritis has become the most common indication for shoulder arthroplasty in Denmark, and the treatment strategies have changed towards the use of anatomical total shoulder arthroplasty and reverse shoulder arthroplasty. We investigated whether changes in the use of arthroplasty types hav...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,多中心研究

    doi:10.1080/17453674.2019.1633759

    authors: Rasmussen JV,Amundsen A,Sørensen AKB,Klausen TW,Jakobsen J,Jensen SL,Olsen BS

    更新日期:2019-10-01 00:00:00