Surgical Management of the Severely Subluxated Neuromuscular Hip

The neuromuscular disorder–affected child with severe hip subluxation presents a difficult challenge for the pediatric orthopaedic surgeon. Surgical correction is often necessary and can range from soft tissue releases to bony procedures including proximal femoral osteotomy, proximal femoral resection, arthrodesis, arthroplasty, and pelvic osteotomy. In this article, the indications and surgical techniques for these procedures are discussed. In addition, some general considerations for the care for the child with neuromuscular disorder are considered.