Combined adductor transfer, iliopsoas release, and proximal hamstring release in cerebral palsy.
Twenty-two patients with cerebral palsy (CP) and progressive lateral migration of the hip who underwent a combined adductor transfer, iliopsoas release, and proximal hamstring release were reviewed retrospectively. The average age at surgery was 4 years 9 months, and clinical and roentgenographic follow-up averaged 21.9 and 19.2 months, respectively. Ninety-five percent of the patients demonstrated an improved range of motion. Roentgenographic analysis showed a statistically significant decrease in the migration percentage and the acetabular angle and an increase in the CE angle. We concluded that this procedure adequately addressed this complex problem, thereby limiting the number of hospitalizations and surgical procedures for this patient group. Longer follow-up will be necessary to determine if these results are maintained with time.
Smith
J T
JT
Division of Orthopaedic Surgery, University of Utah, Salt Lake City.
Stevens
P M
PM
D000293:Adolescent; D000328:Adult; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D013709:Tendon Transfer; D013710:Tendons / Q000601:surgery*