Smith J T, Stevens P M
Division of Orthopaedic Surgery, University of Utah, Salt Lake City.
J Pediatr Orthop. 1989 Jan-Feb;9(1):1-5. doi: 10.1097/01241398-198901000-00001.
Twenty-two patients with cerebral palsy (CP) and progressive lateral migration of the hip who underwent a combined adductor transfer, iliopsoas release, and proximal hamstring release were reviewed retrospectively. The average age at surgery was 4 years 9 months, and clinical and roentgenographic follow-up averaged 21.9 and 19.2 months, respectively. Ninety-five percent of the patients demonstrated an improved range of motion. Roentgenographic analysis showed a statistically significant decrease in the migration percentage and the acetabular angle and an increase in the CE angle. We concluded that this procedure adequately addressed this complex problem, thereby limiting the number of hospitalizations and surgical procedures for this patient group. Longer follow-up will be necessary to determine if these results are maintained with time.
对22例患有脑瘫（CP）且髋关节进行性外侧移位并接受内收肌转移、髂腰肌松解和股直肌近端松解联合手术的患者进行了回顾性研究。手术时的平均年龄为4岁9个月，临床和影像学随访的平均时间分别为21.9个月和19.2个月。95%的患者活动范围得到改善。影像学分析显示，移位百分比和髋臼角在统计学上显著降低，而CE角增加。我们得出结论，该手术能够充分解决这一复杂问题，从而减少该患者群体的住院次数和手术数量。需要更长时间的随访来确定这些结果是否能随时间维持。
