Systematic Review of Total Hip Arthroplasty Outcomes in Cerebral Palsy Patients and a Comparative Analysis with Rheumatoid Arthritis

Table 3

Summary of the studies that look at surgical outcomes for patients with cerebral palsy.

Studies	Surgical approach	Cemented vs. uncemented	Additional procedures including soft tissue release	Head size	Bearing surface	Specialized implants (dual mobility)
Molenaers et al. [15], 2017	Anterior approach	100% uncemented	N/A	N/A		N/A
Houdek et al. [16], 2017	Anterolateral approach: 40% posterior: 60%	100% uncemented	9 tendon release: adductor [7] and psoas [2]	32 mm (22–40)		Acetabular constraint (dual mobility [5] or lipped liner [2])
Silverio et al. [17], 2016	Lateral approach	N/A	N/A	N/A		N/A
Morin et al. [10], 2016	Lateral approach	Cemented: 93% uncemented: 7%	Trochanteric osteotomy and neck section	26 mm	Meta-polyethylene	Dual mobility prosthesis with uncemented acetabular component [30] and cemented femur
King et al. [18], 2016	Not specified	Cemented: 18%, uncemented: 42%, hybrid: 22% reverse hybrid: 16%	N/A	N/A	MoP 36.5% MoM 39% Cop 13.6% CoC 21.4% CoM 0.5%	N/A
Abousamra et al. [19], 2016	Posterior approach	N/A	Combined femoral and acetabular bony reconstruction with femoral osteotomy fixation	N/A	N/A	N/A
Yoon et al. [20], 2015	Posterolateral approach	Uncemented: 100%	Release of flexion/adduction contracture of the hip, and tight repair of soft tissue	N/A	CoP	N/A
Alosh et al. [21], 2014	Posterolateral approach	Uncemented 100%	Hip flexor lengthening and hip adductor release	32 mm (range 22–32)	N/A	N/A
Sanders et al. [22], 2013	Posterolateral approach	N/A	Additional adductor tenotomy in 1 patient	N/A	N/A	Dual mobility including advantage, Biomet, Warsaw, IND
Prosser et al. [9], 2012	Posterior approach	Cemented: 100%:	Resurfacing and osteotomy procedure	N/A	N/A	N/A
Shroeder et al. [23], 2010	Lateral approach	Uncemented: 73%, cemented: 27%	(i) Adductor tenotomy	N/A	N/A	N/A
			(ii) Lengthening of adductor tendons
			(iii) Psoas and rectus tendon release
Raphael et al. [8], 2010	Posterolateral	Cemented: 20%, uncemented: 3% hybrid: 77%	Flexor or adductor tendon releases	22 or 32 mm	N/A	N/A
Gavrakaptenovic et al. [26], 2007	N/A	N/A	(i) Open reduction of the hip [10]	N/A	N/A	N/A
			(ii) Acetabuloplasty [19]
			(iii) Shortening and osteotomy [13]
Abu-Rajab et al. [27], 2007	Anterior approach	N/A	N/A	N/A	N/A	N/A
Schorle et al. [28], 2006	Anterior approach	N/A	(i) Detachment of the contracted pars	N/A		N/A
			(ii) Rectus femoris lengthening implantation of ARR support ring
Weber et al. [29], 1999	N/A	Cemented: 87.5% uncemented 12.5%	2 tenotomies	N/A	N/A	N/A
Gabos et al. [30], 1999	N/A	Cemented and uncemented	Hamstring and adductor releases	N/A	N/A	N/A
Buly et al. [31], 1993	Transtrochanteric approach: 74%	Cemented: 100%	Flexor or adductor release	N/A	N/A	N/A
	Posterolateral approach: 26%
Root et al. [32], 1986	Posterolateral approach: 13%	N/A	Soft tissue release	N/A	N/A	N/A
	Lateral approach: 87%