title: Prevention of hip dislocation in cerebral palsy by early psoas and adductors tenotomies.
abstract: The effectiveness of psoas and adductor tenotomies for the prevention of hip dislocation was investigated in 40 hips of 24 total-body-involved children. Age at operation ranged from 1.6 to 10 years. Results were evaluated by the Reimers migration percentage (MP). Average follow-up was 3 years. An overall good result was observed in 67% of cases. Results were correlated with age and MP at operation. Successful results were obtained in 90% of patients under age 4 who had an MP less than 33%. Preventive surgery should be performed at 2 or 3 years of age, before the onset of hip dysplasia.
authors.affiliation: Service de chirurgie des scolioses et orthopédie infantile, Hôpital Saint Jacques, Besançon, France.
authors.forename: M
authors.initials: M
authors.lastname: Onimus
authors.forename: G
authors.initials: G
authors.lastname: Allamel
authors.forename: P
authors.initials: P
authors.lastname: Manzone
authors.forename: J M
authors.initials: JM
authors.lastname: Laurain
mesh_terms: D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D011859:Radiography; D016059:Range of Motion, Articular; D013710:Tendons / Q000601:surgery*