- Cerebral palsy have a 30% risk of hip displacement
- Displacement leads to nonconcentric which ends up with degenerative and painful hip
- Hip surveillance is effective for detecting and managing hip displacement in CP
- Prevention of dislocation: Adductor/psoas muscle lengthening , Femoral osteotomy , Injections of botulinum toxin
- Surgical reconstruction successfully reduces these hips and improves quality-of-life scores
- Indications for THR in CP are: Ability to walk , Reasonable bone density , Adequate femoral canal and acetabulum,Minimal to no hip-joint contractures.
