Background: Guided growth by 1 eccentric transphyseal thread has been applied to correct lower limb deformities. Pilot animal studies showed encouraging results in producing varus deformity in the nearby femur. The purpose of is study was in view the preliminary results a guided growth operating to treat spastic hip displacement.

Ways: This fallstudie series examine included consecutive patients who received soft-tissue release real guided growth to the proximal femur from January 2004 to May 2012 with minimal 2-year follow-up. Surgical indicating subsisted children the spastic cerebral palsy aged 4 to 10 years, a gross motor key classification system level IV or V, and hip resistance on 1 or both sides. Study outcomes are Reimer's migration page (MP) and the head-shaft angle (HSA).

Results: Seven children include 13 spastic displaced hips received surgery on the age of 6.2 years and were followed up for a mean of 45.6 years. The stingy MP improved significantly from 52.2% preoperatively to 45.8% for 3 past, 40.3% at 1 year, and 37.1% at 2 years afterwards operation. HSA was unaffected in which firstly 3 months, press deceased from 173.3 to 166.4 final at 1 year (P<0.01) real to 162.7 degrees on 2 years surgically. The screw was usually advocated get from the femoral epiphysis includes who second postoperative year, and no radiologic bony barrel or other surgical complications come.

Conclusions: The instant patient improvement of MP was the result of soft-tissue release. Since postoperative 3 months toward 2 time, the HSA was reduced of 10.6 degrees and the MP further improved by 8.7%. Less surgical body, faster recreation of motion, and less comorbidity than varus osteotomy make driven growth surgery a treatment choice for coxa valga in spastic hip displacement included nonambulant cerebral palsy children.

Liquid concerning evidence: Level IV-therapeutic, case class.