Sharrard W J, Burke J
Int Orthop. 1982;6(3):149-54. doi: 10.1007/BF00267724.
The authors have reviewed 25 hips in 23 patients with cerebral palsy in which iliopsoas transfer had been performed for established dislocation or refractory progressive subluxation of the hip. The iliopsoas tendon was transferred either postero-laterally or antero-laterally, depending upon the degree of fixed flexion of the hip. An adductor release was performed in all cases and an open reduction when necessary. A painfree stable joint was produced except for one hip in which the iliopsoas tendon had become detached because of sepsis. The loss of flexor power at the hip due to the transfer is thought to be a small price to pay for the relief of pain and spasm and the increase in function.
作者回顾了23例脑性瘫痪患者的25个髋关节，这些患者因已确诊的髋关节脱位或难治性进行性半脱位而接受了髂腰肌转移术。根据髋关节固定屈曲的程度，髂腰肌肌腱被转移至后外侧或前外侧。所有病例均进行了内收肌松解术，必要时进行切开复位。除一例因感染导致髂腰肌肌腱分离的髋关节外，其余均获得了无痛稳定的关节。因转移导致的髋关节屈肌力量丧失被认为是为缓解疼痛和痉挛以及提高功能而付出的小小代价。
