A thesis submitted to the Faculty of Medicine, University of the
Witwatersrand, Johannesburg, in fulfilment of the requirements for the degree
of Doctor of Philosophy.
Johannesburg, 1994. / Dislocation of the hip is a common deformity in cerebral palsied (CP) patients who
are not walking. Surgery of the hip is performed to prevent or correct the
deformity. This surgery is based on the assumption that a dislocated hip
contributes towards patient management problems, in that it compromises nursing
care, interferes with sitting, snd may be painful.
Reports on the outcome of surgery vary, and there is a controversy as to whether
an established hip dislocation should be reduced. This study was undertaken to
investigate the above assumptions, and to assess the long term outcome of hip
surgery, both in terms of stability, and patient management,
In the background to the study, abnormal development of the CP hip, causation
theory, rationale of treatment (both conservative and surgical) and the evolution of
hip surgery are described.
This comparative study involves two groups of patients. Surgically treated patients
are compared to a random sample of untreated patients matched for age and nonambulatory
status. The treated patients (Group A) had undergone surgery at the
Johannesburg Hospital between 1980 and 1987, and the minimum follow-up period
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/20830 |
| Date | January 1994 |
| Creators | Bischof, Faith |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | Online resource (167 leaves), application/pdf |
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