Onimus M, Allamel G, Manzone P, Laurain J M
Service de chirurgie des scolioses et orthopédie infantile, Hôpital Saint Jacques, Besançon, France.
J Pediatr Orthop. 1991 Jul-Aug;11(4):432-5. doi: 10.1097/01241398-199107000-00002.
The effectiveness of psoas and adductor tenotomies for the prevention of hip dislocation was investigated in 40 hips of 24 total-body-involved children. Age at operation ranged from 1.6 to 10 years. Results were evaluated by the Reimers migration percentage (MP). Average follow-up was 3 years. An overall good result was observed in 67% of cases. Results were correlated with age and MP at operation. Successful results were obtained in 90% of patients under age 4 who had an MP less than 33%. Preventive surgery should be performed at 2 or 3 years of age, before the onset of hip dysplasia.
在24名全身受累儿童的40个髋关节中，研究了腰大肌和内收肌切断术预防髋关节脱位的有效性。手术年龄为1.6至10岁。通过赖默斯移位百分比（MP）评估结果。平均随访3年。67%的病例总体结果良好。结果与手术时的年龄和MP相关。4岁以下且MP小于33%的患者中，90%获得了成功的结果。预防性手术应在2或3岁时进行，即在髋关节发育不良出现之前。
