Auffray Y
Rev Chir Orthop Reparatrice Appar Mot. 1987;73(3):213-7.
Wind-blown or scissor deformity of the hip in severely spastic bed-ridden patients with cerebral palsy requires surgical correction. The methods generally used involve a number of disadvantages which are analysed. Corrective sub-trochanteric osteotomy following extensive soft tissue release is the method of choice in this exceptional situation. The treatment of six patients since 1982 has emphasised the good tolerance of this operation by patients who are frail and suffer from multiple handicaps and the reliability of the results obtained in the relief of pain, the improved ease of nursing management and attention to toilet and, in certain cases, the ability to sit.
对于患有脑瘫且严重痉挛、长期卧床的患者，髋关节的风吹样或剪刀样畸形需要进行手术矫正。文中分析了一般使用的方法存在的一些缺点。在广泛的软组织松解后进行转子下截骨矫正术是这种特殊情况下的首选方法。自1982年以来对6例患者的治疗表明，这种手术对体弱且有多种残疾的患者耐受性良好，在缓解疼痛、改善护理管理便利性、便于如厕以及在某些情况下改善坐姿等方面所取得的效果可靠。
