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Surgery for both hips in severe cerebral palsy

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Up to 60% of children with quadriplegic cerebral palsy have unstable hips. Bilateral subluxation or dislocation of the hip may ensue and is often accompanied by pelvic obliquity and spinal deformity. The “windswept” deformity frequently develops with posterior subluxation of the adducted hip and anterior displacement of the opposite, abducted, hip. Hip pain may become intractable and care difficult. An orthopaedic team in Bristol (

) has assessed the results of bilateral hip surgery. …

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