Erken E H, Bischof F M
Department of Orthopaedic Surgery, Medical School, Johannesburg, South Africa.
J Pediatr Orthop. 1994 May-Jun;14(3):295-8. doi: 10.1097/01241398-199405000-00004.
Thirty-three patients with cerebral palsy had iliopsoas transfers as part of their surgery for hip instability. All had total-body involvement, spastic cerebral palsy and none could walk. At the time of surgery, eight hips were subluxated and 39 were dislocated or severely subluxated. Mean follow-up was 8 years in patients between 8-25 years old. Forty-five of the 47 hips were located. Thirty patients had an accompanying scoliosis, and, in 10 patients, the rib cage impinged on the pelvis. Hip flexion had decreased in most patients. Sitting ability had not improved in any patient, and had in fact deteriorated in 50%.
33例脑瘫患者接受髂腰肌转移术，作为其髋关节不稳定手术的一部分。所有患者均全身受累，患有痉挛性脑瘫，且均无法行走。手术时，8个髋关节半脱位，39个髋关节脱位或严重半脱位。平均随访8年，患者年龄在8至25岁之间。47个髋关节中有45个复位。30例患者伴有脊柱侧弯，10例患者的胸廓压迫骨盆。大多数患者的髋关节屈曲度下降。没有患者的坐位能力得到改善，事实上50%的患者坐位能力恶化。
