Result of bilateral total hip replacement in the treatment of a child with cerebral palsy

Total hip replacement in children is performed according to very limited and compelling indications. The principal of such a treatment is the complete and irreversible destruction of the hip joint accompanied by a permanent loss of function of the lower limb. Hip replacement in children with cerebral palsy is a very rare method of treatment. According to observations from the Turner Institute, it was performed in only 2% of all replacement cases. After the placement of an artificial joint, the atherogenic component of the contractures disappears and improves the motor activity of patients. In this paper, a 3-year follow-up of the bilateral total hip replacement in a child with cerebral palsy and bilateral secondary stage III coxarthrosis is presented.