Cobeljić G, Vukasinović Z, Djorić I
Special Hospital for Orthopaedic Surgery, Banjica, Belgrade Medical Faculty, University of Belgrade, Yugoslavia.
Int Orthop. 1994 Oct;18(5):313-6. doi: 10.1007/BF00180234.
Paralytic dislocation of the hip in cerebral palsy may be prevented by soft tissue surgery and the results of two procedures are reported. Twenty hips were treated by adductor tenotomy alone and this was unsuccessful in every case. An alternative method was carried out in 42 hips in 25 patients. The procedure combined adductor tenotomy with release of the hip muscles including iliac crest resection, tenotomy of the rectus femoris, recession of the iliopsoas and, when necessary, either release or transposition of the knee flexors. This was much more successful in decreasing migration of the femoral head.
脑性瘫痪患者的髋部麻痹性脱位可通过软组织手术预防，本文报告了两种手术方法的结果。单独行内收肌切断术治疗20例髋部，结果均未成功。对25例患者的42个髋部采用了另一种方法。该手术将内收肌切断术与髋部肌肉松解术相结合，包括髂嵴切除、股直肌切断、髂腰肌后移，必要时还包括屈膝肌松解或移位。在减少股骨头移位方面，这种方法更为成功。
