Kalen V, Bleck E E
Dev Med Child Neurol. 1985 Feb;27(1):17-24. doi: 10.1111/j.1469-8749.1985.tb04520.x.
In a retrospective review of 99 children with spastic cerebral palsy, the efficacy of soft-tissue procedures alone in reducing early subluxation of the hip and preventing further subluxation and dislocation was determined. The indication for surgery was early subluxation of one or both hips. Surgery was either adductor tenotomy with or without anterior branch obturator neurectomy, or adductor tenotomy in combination with iliopsoas recession. Results were poor for 64 per cent after adductor tenotomy and anterior branch obturator neurectomy. For patients who also had iliopsoas recession the success rate was 72 per cent. Radiographic analysis showed that uncovering of the femoral head had halted or improved in 80 per cent of patients following iliopsoas recession.
在一项对99例痉挛性脑瘫患儿的回顾性研究中，确定了单纯软组织手术在减少早期髋关节半脱位以及预防进一步半脱位和脱位方面的疗效。手术指征为一侧或双侧髋关节早期半脱位。手术方式为内收肌切断术，可加或不加闭孔神经前支切除术，或内收肌切断术联合髂腰肌松解术。内收肌切断术加闭孔神经前支切除术后64%的患者效果不佳。对于同时进行髂腰肌松解术的患者，成功率为72%。影像学分析显示，80%接受髂腰肌松解术的患者股骨头的覆盖情况停止恶化或有所改善。
