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| 1 | Analysis of orthopedic surgical procedures in children with cerebral palsy显示文摘BACKGROUND Orthopedic surgery in children with cerebral palsy(CP)aims to improve function and prevent deformities.Each child’s condition in CP is unique and many covariables influence surgical decision-making including a patient's age and their functional level.Little is known about the frequency of different types of orthopedic surgery in children with CP who have varied functional levels,particularly in countries from Latin America.AIM To assess the type of orthopedic surgical procedures in relation to age and gross motor function in children with CP.METHODS This retrospective study included all children with CP(n=245)treated with elective orthopedic surgery at a Uruguayan university hospital between October 2010 and May 2016 identified from a surgical database.Eighteen children(7%)were lost to follow-up due to missing medical charts.Demographics,gross motor function classification(GMFCS),and orthopedic surgeries were obtained from the medical records of 227 children.Chi-squared tests and analysis of variance were used to assess the frequency of surgery,accounting for GMFCS levels.Mean age for soft tissue vs bone surgery was compared with the independent samples t-test.RESULTS A total of 711 surgical procedures were performed between 1998 and 2016.On average,children had 3.1 surgical procedures and the mean age at first surgery was 8.0 years.There were no significant differences in age at first surgery among GMFCS levels(P=0.47).The most common procedures were lower leg soft tissue surgery(n=189,27%),hip tenotomy(n=135,19%),and hamstring tenotomy(n=104,14%).For children with GMFCS level Ⅰ,the mean number of surgeries per child[1.8(range 1-9)]differed significantly at P<0.05 in children with GMFCS levels Ⅱ[3.2(1-12)],Ⅲ[3.2(1-8)],Ⅳ[3.3(1-13)],and Ⅴ[3.6(1-11)].Within Ⅱ,Ⅲ,Ⅳ,and Ⅴ,there was no significant difference in mean number of surgeries per child when comparing across the groups.The proportion of soft tissue surgery vs bone surgery was higher in GMFCS levels Ⅰ-Ⅲ(80%-85%)compared to levels IV(68%)and V(55%)(P<0.05).CONCLUSION The frequency of surgical procedures per child did not increase with higher GMFCS level after level Ⅰ.However,the proportion of bone surgery was higher in GMFCS levels Ⅳ-Ⅴ compared to Ⅰ-Ⅲ. | Ignacio Rehbein Viviana Teske Ignacio Pagano Alejandro Cúneo María Elena Pérez Johan von Heideken | 2020 | World Journal of Orthopedics2020，11，4： | 2 |
| 2 | Femur shaft fracture at a young age and the risk of subsequentsevere injuries during childhood: a cohort study 显示文摘 | von Heideken J Svensson T Iversen M | 2014 | BMC pediatrics2014，14，1： | 1 |
| 3 | The rela- tionship between developmental dysplasia of the hip and congenital muscular torticollis显示文摘 | von Heideken J Green DW Burke SW | 2006 | J Pediatr Orthop2006，26，6： | 1 |
| 4 | Surgical treatment of chronic acromioclavicular dislocantions:a comparative study of weaver-dunn augmented with PDS-braid or hook plate显示文摘 | Bostrom Windhamre HA von Heideken JP Une-Larsson VE | 2010 | Shouler Elbow Surg2010，19，： | 1 |
| 5 | Gait deviations in individuals with inflammatory joint diseases and osteoarthritis and the usage of three- dimensional gait analysis显示文摘 | Brostrom EW Esbjornsson AC Von Heideken J | 2012 | Best Practice & Research Clinical Rheumatology2012，26，3： | 1 |
| 6 | Surgical treatment of chronic acromioclavicular dislocations: acomparative study of Weaver-Dunn augmented with PDS-braid or hook plate 显示文摘 | Bostrom Windhare HA von Heideken JP Une-Larsson VE | 2010 | J Shoulder Elbow surg2010，19，7： | 1 |
| 7 | Do central banks react to housing prices? 显示文摘 | FINOCCHIARO D VON HEIDEKEN V | 2013 | Joumal of Money Credit and Banking2013，45，8： | 1 |
| 8 | Acute Sur- gical treatment of acromioclavicular dislocation type V with a hook plate': superiority to late reconstruction 显示文摘 | Heideken J Bostrfm Windhamre H Une-Larsson V el al | 2013 | J Shoulder Elbow Surg2013，22，1： | 1 |
| 9 | Acute surgical treatment of acromioclavicrlar dislocation type V with a hook plate:superiority to late reconstruction显示文摘 | von Heideken J Bostr?m Windhamre H Une-Larsson V | 2013 | J Shoulder Elbow Surg2013，22，1： | 1 |
| 10 | The relationship between developmental dysplasia of the hip and congenital muscular tordcollis显示文摘 | Green DW Burke SW | 2006 | J Pediatr Orthop2006，26，6： | 1 |
| 11 | Gait deviations in individuals with inflammatory joint diseases and osteoarthritis and the usage of three dimensional gait analysis显示文摘 | Brostrom EW Esbjtirnsson AC von Heideken J | 2012 | Best Practice & Research Clinical P&eumatology2012，26，3： | 1 |
| 12 | The relationship between developmental dysplasia of the hip and congenital muscular torticollis 显示文摘 | von Heideken J Green DW Burke SW | 2006 | J Pediatr Orthop2006，26，6： | 1 |
| 13 | Acute surgical treatment of acromioclavicular dislocation type Ⅴ with a hook plate:superiority to late Reconstruction显示文摘 | yon Heideken J Bostr(o)m Windhamre H Une-Larsson V | | 0，，01： | 1 |
| 14 | Do Central Banks React to House Prices? 显示文摘 | Finocchiaro D Heideken V Q | 2013 | Journal of Money Credit and Banking2013，45，8： | 1 |
| 15 | Acute surgical treatment of acromioclavicular disalocation type V eit a hool plate:superority to late reconstruction显示文摘 | Von Heideken J Windhanure H B Une-Lars-son V | 2013 | Journal of Shoulder and Ellow Surgery2013，22，1： | 1 |
| 16 | The relationship between developmental dysplasia of the hip and congenital muscular torticollis 显示文摘 | von Heideken J Green DW Burde SW | 2006 | J Pediatr Orthop2006，26，6： | 1 |
| 17 | Surgical treatment of chronic acrornioclavicular dislocations: A com- parative study of Weaver-Dunn augmented with PDS-braid or hook plate显示文摘 | Bostrom Wondhamre HA yon Heideken JP Une-Larsson VE | 2010 | J Shoulder Elbow Surg2010，19，7： | 1 |
| 18 | Femur shaftfracture at a young age and the risk of subsequent se- vere injuries during childhood:a cohort study显示文摘 | Heideken JV Svensson T Iversen M | 2014 | BMC Pediatrcs2014，14，1： | 1 |
| 19 | Acute surgical treatment of acromioclavicnlar disloca- tion type V with a hook plate:superiority to late reconstruc- tion 显示文摘 | von Heideken J Bostrfim Windhamre H Une - Larsson V | 2013 | J Shoulder Elbow Surg2013，22，1： | 1 |
| 20 | Femur shaft fracture at a young age and the risk of subsequent severe injuries during childhood: a cohort study 显示文摘 | von Heideken J Svensson T Iversen M | 2014 | BMC Pediatrics2014，14，： | 1 |
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