{"id":"https://openalex.org/W1998530259","doi":"https://doi.org/10.1097/bpo.0b013e31822e0261","title":"Surgical Management of Hip Subluxation and Dislocation in Children With Cerebral Palsy","display_name":"Surgical Management of Hip Subluxation and Dislocation in Children With Cerebral Palsy","publication_year":2011,"publication_date":"2011-11-18","ids":{"openalex":"https://openalex.org/W1998530259","doi":"https://doi.org/10.1097/bpo.0b013e31822e0261","mag":"1998530259","pmid":"https://pubmed.ncbi.nlm.nih.gov/22101664"},"language":"en","primary_location":{"id":"doi:10.1097/bpo.0b013e31822e0261","doi":"https://doi.org/10.1097/bpo.0b013e31822e0261","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bpo.0b013e31822e0261","pdf_url":null,"source":{"id":"https://openalex.org/S44433048","display_name":"Journal of Pediatric Orthopaedics","issn_l":"0271-6798","issn":["0271-6798","1539-2570"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Orthopaedics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072185386","display_name":"Kenneth Huh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144401","display_name":"Starship Children's Health","ror":"https://ror.org/04sh9kd82","country_code":"NZ","type":"healthcare","lineage":["https://openalex.org/I4210144401"]}],"countries":["NZ"],"is_corresponding":true,"raw_author_name":"Kenneth Huh","raw_affiliation_strings":["Starship Children's Hospital, Grafton, Auckland, New Zealand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Starship Children's Hospital, Grafton, Auckland, New Zealand","institution_ids":["https://openalex.org/I4210144401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026460361","display_name":"Susan A. Rethlefsen","orcid":"https://orcid.org/0000-0003-2608-4567","observed_orcids":["https://orcid.org/0000-0003-2608-4567"]},"institutions":[{"id":"https://openalex.org/I1336910626","display_name":"Children's Hospital Los Angeles","ror":"https://ror.org/00412ts95","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1336910626"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan A. Rethlefsen","raw_affiliation_strings":["Childrens Orthopaedic Center, Childrens Hospital Los Angeles"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Childrens Orthopaedic Center, Childrens Hospital Los Angeles","institution_ids":["https://openalex.org/I1336910626"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110639656","display_name":"Tishya A.L. Wren","orcid":"https://orcid.org/0000-0003-1032-1767","observed_orcids":["https://orcid.org/0000-0003-1032-1767"]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]},{"id":"https://openalex.org/I1336910626","display_name":"Children's Hospital Los Angeles","ror":"https://ror.org/00412ts95","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1336910626"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tishya A.L. Wren","raw_affiliation_strings":["Childrens Orthopaedic Center, Childrens Hospital Los Angeles","Department of Orthopaedic","Departments of Radiology and Biomedical Engineering, University of Southern California, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Childrens Orthopaedic Center, Childrens Hospital Los Angeles","institution_ids":["https://openalex.org/I1336910626"]},{"raw_affiliation_string":"Department of Orthopaedic","institution_ids":[]},{"raw_affiliation_string":"Departments of Radiology and Biomedical Engineering, University of Southern California, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5049301336","display_name":"Robert M. Kay","orcid":"https://orcid.org/0000-0002-4498-6815","observed_orcids":["https://orcid.org/0000-0002-4498-6815"]},"institutions":[{"id":"https://openalex.org/I1336910626","display_name":"Children's Hospital Los Angeles","ror":"https://ror.org/00412ts95","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1336910626"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert M. Kay","raw_affiliation_strings":["Childrens Orthopaedic Center, Childrens Hospital Los Angeles","Department of Orthopaedic"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Childrens Orthopaedic Center, Childrens Hospital Los Angeles","institution_ids":["https://openalex.org/I1336910626"]},{"raw_affiliation_string":"Department of Orthopaedic","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5072185386"],"corresponding_institution_ids":["https://openalex.org/I4210144401"],"apc_list":null,"apc_paid":null,"fwci":1.7505,"has_fulltext":false,"cited_by_count":69,"citation_normalized_percentile":{"value":0.83149629,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"31","issue":"8","first_page":"858","last_page":"863"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11097","display_name":"Cerebral Palsy and Movement Disorders","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11097","display_name":"Cerebral Palsy and Movement Disorders","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11218","display_name":"Hip disorders and treatments","score":0.003000000026077032,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hip-subluxation","display_name":"hip subluxation","score":0.8970000147819519},{"id":"https://openalex.org/keywords/hip-dislocation","display_name":"hip dislocation","score":0.996999979019165},{"id":"https://openalex.org/keywords/cerebral-palsy","display_name":"cerebral palsy","score":0.9890000224113464},{"id":"https://openalex.org/keywords/pelvic-osteotomy","display_name":"pelvic osteotomy","score":0.9990000128746033},{"id":"https://openalex.org/keywords/femoral-head-migration","display_name":"femoral head migration","score":0.7620000243186951},{"id":"https://openalex.org/keywords/acetabular-index","display_name":"acetabular index","score":0.9049999713897705},{"id":"https://openalex.org/keywords/center-edge-angle","display_name":"center-edge angle","score":0.8379999995231628},{"id":"https://openalex.org/keywords/neck-shaft-angle","display_name":"neck-shaft angle","score":0.8759999871253967},{"id":"https://openalex.org/keywords/soft-tissue-release","display_name":"soft tissue release","score":0.7490000128746033},{"id":"https://openalex.org/keywords/pediatric-hip-surgery","display_name":"pediatric hip surgery","score":0.5989999771118164},{"id":"https://openalex.org/keywords/femoral-head-coverage","display_name":"femoral head coverage","score":0.7850000262260437}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9749882221221924},{"id":"https://openalex.org/C2776824190","wikidata":"https://www.wikidata.org/wiki/Q753108","display_name":"Subluxation","level":3,"score":0.8766075372695923},{"id":"https://openalex.org/C2776389721","wikidata":"https://www.wikidata.org/wiki/Q2167748","display_name":"Osteotomy","level":2,"score":0.7469623684883118},{"id":"https://openalex.org/C2779421357","wikidata":"https://www.wikidata.org/wiki/Q210427","display_name":"Cerebral palsy","level":2,"score":0.740799069404602},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6556142568588257},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.6374044418334961},{"id":"https://openalex.org/C2778377828","wikidata":"https://www.wikidata.org/wiki/Q464428","display_name":"Arthrogram","level":3,"score":0.574316680431366},{"id":"https://openalex.org/C111335779","wikidata":"https://www.wikidata.org/wiki/Q3454686","display_name":"Reduction (mathematics)","level":2,"score":0.5563051700592041},{"id":"https://openalex.org/C2776805002","wikidata":"https://www.wikidata.org/wiki/Q614984","display_name":"Fluoroscopy","level":2,"score":0.4909680187702179},{"id":"https://openalex.org/C2778357063","wikidata":"https://www.wikidata.org/wiki/Q713102","display_name":"Pelvis","level":2,"score":0.45075106620788574},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.41431230306625366},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.07495510578155518},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C2524010","wikidata":"https://www.wikidata.org/wiki/Q8087","display_name":"Geometry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002547","descriptor_name":"Cerebral Palsy","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006617","descriptor_name":"Hip Dislocation","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D006617","descriptor_name":"Hip Dislocation","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006617","descriptor_name":"Hip Dislocation","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D006617","descriptor_name":"Hip Dislocation","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010027","descriptor_name":"Osteotomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D011859","descriptor_name":"Radiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016059","descriptor_name":"Range of Motion, Articular","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/bpo.0b013e31822e0261","doi":"https://doi.org/10.1097/bpo.0b013e31822e0261","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bpo.0b013e31822e0261","pdf_url":null,"source":{"id":"https://openalex.org/S44433048","display_name":"Journal of Pediatric Orthopaedics","issn_l":"0271-6798","issn":["0271-6798","1539-2570"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Orthopaedics","raw_type":"journal-article"},{"id":"pmid:22101664","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22101664","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of pediatric orthopedics","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":17,"referenced_works":["https://openalex.org/W132454308","https://openalex.org/W190844905","https://openalex.org/W1815904710","https://openalex.org/W1976305068","https://openalex.org/W1983913252","https://openalex.org/W2052871219","https://openalex.org/W2056076165","https://openalex.org/W2085407343","https://openalex.org/W2324655108","https://openalex.org/W2327207919","https://openalex.org/W2467316483","https://openalex.org/W4230420795","https://openalex.org/W4242569483","https://openalex.org/W4253747836","https://openalex.org/W4255425326","https://openalex.org/W4319053544","https://openalex.org/W6672051632"],"related_works":["https://openalex.org/W2800323676","https://openalex.org/W7213404517","https://openalex.org/W3111368180","https://openalex.org/W2418509493","https://openalex.org/W1748894525","https://openalex.org/W2415519591","https://openalex.org/W4205965606","https://openalex.org/W2008126845","https://openalex.org/W2085407343","https://openalex.org/W106895602"],"abstract_inverted_index":{"BACKGROUND:":[0],"Controversy":[1],"exists":[2],"regarding":[3],"surgical":[4,263],"treatment":[5],"of":[6,17,50,65,185,228,236,265],"hip":[7,33,43,58,93],"subluxation/dislocation":[8,59],"in":[9,38,205,250,268],"children":[10,39],"with":[11,31,40,53,62,91,187,215,221,252,270,275,281,301],"cerebral":[12],"palsy":[13],"(CP).":[14],"The":[15,183,240],"purpose":[16],"this":[18,256],"study":[19,241,257],"was":[20,48,193],"to":[21,89,262],"compare":[22],"isolated":[23],"varus":[24],"derotational":[25],"osteotomy":[26,37,85,97,306],"(VDRO)":[27],"and":[28,42,57,75,80,103,111,160,219,231,288,297,299],"VDRO":[29,73,79,222,282,287],"combined":[30,120,245],"open":[32,81,92,302],"reduction":[34,82,94,294,303,308],"and/or":[35,83,95,304,309],"pelvic":[36,84,96,305],"CP":[41,54,271],"subluxation/dislocation.":[44],"METHODS:":[45],"Retrospective":[46],"review":[47],"performed":[49],"75":[51],"patients":[52,186,251,269],"(116":[55],"hips)":[56],"treated":[60,220],"surgically,":[61],"a":[63,234,259],"minimum":[64],"2":[66],"years":[67],"follow-up.":[68],"Ninety-two":[69],"hips":[70,214,267,274],"had":[71,77,123],"undergone":[72,78],"alone,":[74,223],"24":[76],"(with":[86],"the":[87,213],"decision":[88],"proceed":[90],"made":[98],"intraoperatively":[99],"based":[100],"on":[101],"fluoroscopy":[102,296],"arthrogram).":[104],"Clinical":[105],"variables,":[106,110],"functional":[107],"level,":[108],"radiographic":[109,177],"complications/revisions":[112],"were":[113,179,202,278],"compared":[114],"between":[115,181,195,210],"groups.":[116,182,211],"RESULTS:":[117],"Patients":[118],"requiring":[119],"surgery":[121],"(VDRO+)":[122],"higher":[124,137,161],"baseline":[125],"migration":[126],"percentages":[127],"(MP)":[128],"(84%":[129],"\u00b1":[130,134,141,145,153,157,165,169],"18":[131,158],"VDRO+,":[132,143,155,167,198],"51%":[133],"21":[135],"VDRO),":[136,147,159],"acetabular":[138],"indices":[139],"(34":[140],"10":[142,170],"28":[144,154],"7":[146],"more":[148],"negative":[149],"center-edge":[150],"angles":[151,163],"(-36":[152],"-0.3":[156],"neck-shaft":[162],"(162":[164],"12":[166],"157":[168],"VDRO)":[171],"(all":[172],"P":[173],"<":[174],"0.02).":[175],"Postoperative":[176],"variables":[178],"similar":[180,194],"percentage":[184],"MP":[188,216,227,235,276],">30%":[189],"at":[190],"final":[191],"follow-up":[192],"groups":[196],"(38%":[197],"33%":[199],"VDRO).":[200],"There":[201],"no":[203],"differences":[204],"complications":[206],"or":[207],"revision":[208],"rates":[209],"Of":[212],">50%":[217,277],"preoperatively":[218],"41%":[224],"developed":[225,233],"postoperative":[226],"\u2265":[229,237],"30%":[230],"21%":[232],"40%.":[238],"CONCLUSIONS:":[239],"results":[242],"confirm":[243],"that":[244],"procedures":[246],"should":[247],"be":[248],"considered":[249],"high":[253],"MP.":[254],"However,":[255],"supports":[258],"sequential":[260],"approach":[261],"management":[264],"subluxated/dislocated":[266],"as":[272],"many":[273],"successfully":[279],"managed":[280],"alone.":[283],"We":[284],"recommend":[285],"performing":[286],"soft":[289],"tissue":[290],"release":[291],"first,":[292],"assessing":[293],"using":[295],"arthrogram":[298],"proceeding":[300],"if":[307],"femoral":[310],"head":[311],"coverage":[312],"are":[313],"inadequate.":[314],"LEVEL":[315],"OF":[316],"EVIDENCE:":[317],"Level":[318],"III,":[319],"retrospective":[320],"comparative":[321],"study.":[322]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":7},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":4}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
