Aronson D D, Zak P J, Lee C L, Bollinger R O, Lamont R L
Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit 48201.
J Bone Joint Surg Am. 1991 Jan;73(1):59-65.
Seventy-eight posterior transfers of the adductors of the hip in forty-two children who has spastic cerebral palsy were reviewed an average of 5.7 years after the operation (range, two to 14.6 years). The results were assessed on the basis of the patient's ability to walk, the range of motion of the affected hip or hips, and the radiographic measurements. In 88 per cent of the patients, the transfer was successful in improving or maintaining abduction, extension, functional walking, and stability of the hip. The failures were all in patients who were unable to walk and who had spastic quadriplegia. Tenotomy of the iliopsoas tendon at the time of the transfer procedure resulted in an improved range of motion of the hip.
回顾了42例痉挛性脑瘫患儿的78次髋内收肌后移手术，平均术后5.7年（范围为2至14.6年）。根据患者的行走能力、患侧髋关节的活动范围以及影像学测量结果对手术效果进行评估。88%的患者中，后移手术成功改善或维持了髋关节的外展、伸展、功能性行走及稳定性。手术失败的均为无法行走且患有痉挛性四肢瘫的患者。在手术过程中同时进行髂腰肌肌腱切断术可改善髋关节的活动范围。
