Pilliard D, Masse P, Taussig G
Rev Chir Orthop Reparatrice Appar Mot. 1982;68(7):455-60.
The authors have reviewed 93 children with myelomeningocele and with hip involvement. Some had been operated upon and others had not. The results of surgery were often disappointing when the patient was evaluated in adolescence. A number of stiff hips and recurrences of dislocation were seen after tendon transplants, open reduction or osteotomies. Considering these results and the major non-orthopaedic problems of such patients, it is concluded that bilateral dislocations should not be operated on and that early treatment should be applied in unilateral cases mainly by osteotomy.
作者回顾了93例患有脊髓脊膜膨出并伴有髋关节受累的儿童。有些患儿已经接受了手术，有些则没有。当在青春期对这些患者进行评估时，手术结果往往令人失望。在肌腱移植、切开复位或截骨术后，出现了许多髋关节僵硬和脱位复发的情况。考虑到这些结果以及此类患者的主要非骨科问题，得出的结论是，双侧脱位不应进行手术，单侧病例应主要通过截骨术进行早期治疗。
