Feldkamp M, Treppenhauer M
Z Orthop Ihre Grenzgeb. 1985 Mar-Apr;123(2):189-92. doi: 10.1055/s-2008-1045133.
Sixty-eight very severely handicapped children with cerebral paresis, incapable of walking unaided, who underwent hip surgery ten years ago and more, were followed up. It was found that surgery had been a moderate success only in those who still had residual function when prone (ability to crawl). As far as the most seriously affected children were concerned the improvement, if there was any, was only in the radiological findings; the tendency to increased development of a scoliotic pelvis was not affected. The results after bone operations (DV osteotomy, hip adjustments, reconstruction of the roof of the acetabulum) are better with regard to X-ray findings, but by no means reliable. It is still debatable whether surgery brought about any improvement in the condition of these patients.
对68名十年及十年以上前接受髋关节手术的重度脑瘫儿童进行了随访，这些儿童无法独立行走。结果发现，手术仅对那些俯卧时仍有残余功能（爬行能力）的儿童取得了一定成功。就受影响最严重的儿童而言，即便有改善，也仅体现在影像学检查结果上；脊柱侧弯骨盆加重的趋势并未得到改善。骨手术（双V截骨术、髋关节调整、髋臼顶重建）后的X线检查结果较好，但远非可靠。手术是否改善了这些患者的病情仍存在争议。
