Your browser doesn't support javascript.
loading
Establishing surgical indications for hamstring lengthening and femoral derotational osteotomy in ambulatory children with cerebral palsy.
McCarthy, James; Wade Shrader, M; Graham, Kerr; Veerkamp, Matthew; Brower, Laura; Chambers, Hank; Davids, Jon R; Kay, Robert M; Narayanan, Unni; Novacheck, Tom F; Pierz, Kristan; Rhodes, Jason; Rutz, Erich; Shilt, Jeffery; Shore, Benjamin J; Theologis, Tim; Van Campenhout, Anja.
Afiliación
  • McCarthy J; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States.
  • Wade Shrader M; Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware, United States.
  • Graham K; The Royal Children's Hospital, Melbourne, Australia.
  • Veerkamp M; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States.
  • Brower L; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States.
  • Chambers H; Rady Children's Hospital, San Diego, California, United States.
  • Davids JR; Shriners Hospitals for Children-Northern California, Sacramento, California, United States.
  • Kay RM; Children's Hospital Los Angeles, Los Angeles, California, United States.
  • Narayanan U; The Hospital for Sick Children, Toronto, Canada, United States.
  • Novacheck TF; Gillette Children's Specialty Healthcare, Saint Paul, Minnesota, United States.
  • Pierz K; Connecticut Children's Hospital, Hartford, Connecticut, United States.
  • Rhodes J; Children's Hospital Colorado, Aurora, Colorado, United States.
  • Rutz E; University Children's Hospital Basle, Basle, Switzerland.
  • Shilt J; Texas Children's Hospital, Houston, Texas, United States.
  • Shore BJ; Boston Children's Hospital, Boston, Massachusetts, United States.
  • Theologis T; Oxford University Hospitals, Oxford, United Kingdom.
  • Van Campenhout A; UZ Leuven, Belgium.
J Child Orthop ; 14(1): 50-57, 2020 Feb 01.
Article en En | MEDLINE | ID: mdl-32165981
PURPOSE: Surgical procedures, such as medial hamstring lengthening (MHL) and femoral derotational osteotomy (FDO), can improve the gait of children with cerebral palsy (CP); however, substantial variation exists in the factors that influence the decision to perform surgery. The purpose of this study was to use expert surgeon opinion through a Delphi technique to establish consensus for indications in ambulatory children with CP. METHODS: A 15-member panel, all established experts with at least nine years' experience in the surgical management of children with CP, was created (mean of 20.81 years' experience). All panel members also had expertise of the use of movement analysis for the assessment of gait disorders in children with CP. The group initially focused on two of the most commonly performed procedures, MHL and FDO, in an attempt to gain consensus (> 80%). This was obtained through a standardized, iterative Delphi process. RESULTS: For MHL, a total of 59 questions were surveyed: 41 indication questions and 18 outcome questions, for which there was consensus on ten indication questions and seven outcomes. For FDO, a total of 55 questions were surveyed: 43 indication questions and 12 outcome questions, for which there was consensus on 29 indication questions and eight outcomes. CONCLUSION: This study is the first to use an expert panel to identify best-practice indications for common surgical procedures of children with CP. The results from this study will allow for more informed evaluation of practice and form the basis for future improvement efforts to standardize surgical recommendations internationally. LEVEL OF EVIDENCE: Level IV.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prognostic_studies Idioma: En Revista: J Child Orthop Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prognostic_studies Idioma: En Revista: J Child Orthop Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido