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Free gracilis transfer in the treatment of gluteus medius paralysis after poliomyelitis.

作者信息

Dao Q S, Zhang Y F, Yang Q M, Guo B F

出版信息

J Reconstr Microsurg. 1985 Jan;1(3):241-4. doi: 10.1055/s-2007-1007081.

DOI:10.1055/s-2007-1007081
PMID:4057164
Abstract

Paralysis of the gluteus medius after poliomyelitis often gives rise to secondary spinal deformity and inclination of the pelvis; the patient presents with a typical waddling gait. The paralysis is usually associated also with varying degrees of involvement and deformity of the extremities. Current treatment for paralysis of the gluteus medius has not been totally satisfactory. With the development of micro-neurovascular procedures, transfer of free muscle grafts for paralyzed or functionless muscles can be performed with functional recovery. The authors present a series of 12 cases, of which 10 were followed-up from 12 to 35 months. All of them had good cosmetic and functional results, with increased hip stability and stable gait. The operative technique, as well as the surgical anatomy, are described.

摘要

相似文献

1
Free gracilis transfer in the treatment of gluteus medius paralysis after poliomyelitis.
J Reconstr Microsurg. 1985 Jan;1(3):241-4. doi: 10.1055/s-2007-1007081.
2
Muscle transfer for paralysis of gluteus muscles after poliomyelitis.
Chin Med J (Engl). 1986 Feb;99(2):87-90.
3
[Transplantation of the spinal erector muscle to the hip in paralysis of the gluteus maximus following poliomyelitis].
Ortop Travmatol Protez. 1966 Jul;27(7):9-15.
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Total hip arthroplasty in paralytic dislocation from poliomyelitis.
Orthopedics. 2008 Feb;31(2):179. doi: 10.3928/01477447-20080201-16.
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[Stabilization of the lower limb in total paralysis of all muscle groups of the leg and the gluteal region after poliomyelitis].[小儿麻痹后遗症致腿部及臀肌区所有肌群完全麻痹时下肢的稳定]
Zh Eksp Klin Med. 1976;16(1):91-4.
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[Surgical treatment of poliomyelitic paralysis of gluteus maximus muscle].
Zhonghua Wai Ke Za Zhi. 1983 Dec;21(12):750-1.
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[Single-stage grafting of the latissimus dorsi and erector spinae muscles to the thigh in paralysis of the gluteal muscles after poliomyelitis].
Eksp Khir Anesteziol. 1967 Mar-Apr;12(2):55-9.
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[Neurovascular pedicled latissimus dorsi flap transfer as a substitute for a paralyzed deltoid muscle].[带神经血管蒂的背阔肌肌瓣转移替代瘫痪三角肌]
Zhonghua Wai Ke Za Zhi. 1986 May;24(5):265-6, 315.
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Determining the activation of gluteus medius and the validity of the single leg stance test in chronic, nonspecific low back pain.确定慢性非特异性下腰痛患者臀中肌的激活情况及单腿站立试验的有效性。
Arch Phys Med Rehabil. 2014 Oct;95(10):1969-76. doi: 10.1016/j.apmr.2014.06.009. Epub 2014 Jun 30.
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[Translocation of muscles in the treatment of paralysed gluteal muscles following poliomyelitis].[肌肉移位术治疗小儿麻痹后遗症所致臀肌麻痹]
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