A Case Report: Supercapsular Percutaneous Assisted Total Hip (SuperPATH) in a Patient with Spastic Cerebral Palsy and Dysplastic Hip

Introduction: Patients with neuromuscular disorder such as cerebral palsy often develop painful degenerative hip arthritis that can affect the quality of life and function. Total hip replacement is the treatment of choice. However, due to higher rate of dislocation and early wear, this procedure remains controversial. Supercapsular Percutaneous Assisted Total Hip (SuperPATH) is a relatively new Minimally Invasive Surgical (MIS) technique with low dislocation rate.

Case Report: A 31-year-old female who was diagnosed with spastic dyplegia cerebral palsy with arthritic left hip secondary to dysplastic hip. We performed SuperPATH. At 1 year post operative, patient can independently walk without any assistive devices with marked improvement on the Harris Hip Score.

Discussion: Muscle imbalance in patient with cerebral palsy often leads to hip instability which resulting an arthritic hip. THA procedure remains controversy to treat the hip arthrosis due to its complications. However, the development of MIS such as SuperPATH which preserves the external rotators reduced the risk of dislocation significantly.

Conclusion: THA is controversy procedure in treating hip arthrosis in cerebral palsy patient due to the high risk of dislocation. But with the development of MIS such as SuperPATH, THA can be the treatment of choice with favorable outcomes.