Weisl H, Fairclough J A, Jones D G
Royal Infirmary, Cardiff, Wales.
J Bone Joint Surg Br. 1988 Jan;70(1):29-33. doi: 10.1302/0301-620X.70B1.3339055.
Patients with myelomeningocele who had had surgery to stabilise the hip were reviewed; the results of the 106 operations in 88 patients were assessed. In the earlier part of the series there were 55 children who had 64 iliopsoas transfers; later in the series 33 children had 42 varus-rotation osteotomies combined with adductor tenotomy, anterior obturator neurectomy and psoas division. The technical results of both operations were satisfactory: following iliopsoas transfer only 19% of the hips were either dislocated or subluxated; the corresponding figure for the osteotomy was 12%. Thus varus-rotation osteotomy with psoas division, adductor tenotomy and anterior obturator neurectomy was at least as effective in stabilising the hip as iliopsoas transfer. Nevertheless 80% of the latter and 61% of the osteotomy patients relied on wheelchairs for mobility.
对患有脊髓脊膜膨出且已接受髋关节稳定手术的患者进行了回顾性研究；评估了88例患者106次手术的结果。在该系列研究的早期阶段，有55名儿童接受了64次髂腰肌转移术；在该系列研究的后期，33名儿童接受了42次内翻旋转截骨术，并联合内收肌切断术、闭孔神经前支切除术和腰大肌切断术。两种手术的技术效果均令人满意：髂腰肌转移术后只有19%的髋关节发生脱位或半脱位；截骨术的相应数字为12%。因此，内翻旋转截骨术联合腰大肌切断术、内收肌切断术和闭孔神经前支切除术在稳定髋关节方面至少与髂腰肌转移术一样有效。然而，后者80%的患者和截骨术患者中有61%依靠轮椅行动。
