Complications of Hip Surgery in Neuromuscular Patients

Hakan ŞENARANa , İlker Abdullah SARIKAYAb

aBezmiâlem Vakıf University Faculty of Medicine, Department of Orthopedics and Traumatology, İstanbul, Türkiye
bOTA Jinemed Hospital, Clinic of Orthopedics and Traumatology, İstanbul, Türkiye

ABSTRACT
Managing hip joint pathologies in children with neuromuscular disease requires well-organized planning and a careful treatment program. However, even when planning, treatment, and followup are appropriate, hip surgery in neuromuscular patients is highly prone to complications. It has been demonstrated that severely affected neuromuscular patients who underwent femoral and/or pelvic osteotomies have a significantly higher rate and different types of complications. The aim of this chapter is to address the complications related to the management of the hip in neuromuscular disease, especially in cerebral palsy and spina bifida. The leading complications are recurrent dislocation, wound infection, fixation failure, nonunion, avascular necrosis, and heterotopic ossification.
Keywords: Neuromuscular disease; hip surgery; complication; cerebral palsy; spina bifida

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