Iliopsoas transfers in children with myelomeningocele.
Thirty-two paralytic hips in seventeen children with myelomeningocele and a neural deficit at the fourth lumbar level were treated with iliopsoas transfers. Four to fourteen years later, all of the hips were reduced and nineteen had a center-edge angle of more than 25 degrees. This result was more consistent in the hips of the ten patients who had had a combined varus osteotomy and transfer. All but three of the transferred muscles were active: twenty-one had abduction and fifteen had extension against gravity. We concluded that the procedure has value, but that it does not produce a normal hip.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D006617:Hip Dislocation / Q000601:surgery; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D007223:Infant; D008591:Meningomyelocele / Q000150:complications*; D008722:Methods; D009132:Muscles / Q000601:surgery*; D010027:Osteotomy; D010243:Paralysis / Q000209:etiology / Q000601:surgery*