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Orthopedic Problems and Surgery
Links and Resources
Warning: This section is much
more technical than the rest of the book. A glossary at the end of this section
should explain most of the terms mentioned here. You will hear many of these
terms as you care for your child.
The following are links to the
information which was included in the book "Caring For Your Child With
Hydranencephaly"
Hips
The Hip In Cerebral Palsy
http://www.wheelessonline.com/o14/110.htm
Prevention of Hip Problems
http://www.pediatric-orthopedics.com/Treatments/Hips/Prevent/prevent.html
Hip Varus Osteotomy (VRO)
Derotation Osteotomy
Femoral Osteotomy
http://www.pediatric-orthopedics.com/Treatments/Hips/VRO/vro.html
S.L.O.B.
Hip augmentation
http://www.pediatric-orthopedics.com/Treatments/Hips/SLOB/slob.html
An alternate surgical procedure:
Proximal Femoral Resection
Some of the children just can’t
withstand the long surgery involved in the above procedures for dislocated hips.
Another option is called a Proximal Femoral Resection. In this procedure the top
of the femur is cut off; the ball part of the femur. This means that there is no
hip joint and thus no pain. It does leave the child with the one leg being very
floppy so special care has to be taken with moving and positioning. There is
very little information on this procedure on the internet. It’s seen as a last
resort surgery. However, a number of families have opted for this procedure
rather than having the hip reconstruction. It’s a much shorter surgery and
you’re guaranteed that the hip will never dislocate again.
Spinal Problems
http://www.ccmckids.org/services/orthopaedics_curvatures.asp
Cast
Care
If your child has hip or soft tissue surgery (bilateral adductor tenotomy) they
will most likely be placed in a cast for 4-6 weeks. Here is some information on
caring for the casts they most likely will be in. It’s presented here for your
information only. Your child’s dr or therapist can give you more specific
suggestions.
Home Management of the Child in a Hip
Spica Cast
http://www.ccmckids.org/services/orthopaedics_hipspica.asp
Petrie
Cast Care
http://www.cincinnatichildrens.org/health/info/orthopaedics/home/petrie-cast.htm
Other pages in this section:
Cerebral Palsy
Orthopedic Considerations
Medical Treatments for Spasticity
Orthopedic Surgery Personal Experiences
Therapy for children with
Hydranencephaly
Range of Motion Therapy
Other Types of Therapy
Principals of Positioning
Positioning:
Orthotics and Splints
Orthotics and Splints Experiences
Equipment
Wheelchairs
Alternate Positioning
Standers
Personal Care: Practical
Information
Practical Care: Transportation
Practical Care: Carrying and Lifting
Sleeping Medications
Glossary
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