[Importance of tenotomy of the adductors in the treatment of cerebral palsy manifestations in the lower extremities].
The authors evaluate 303 tenotomies of adductors performed in patients with cerebral palsy (CP) in 1970-1992. They emphasize the correct diagnosis of adduction contracture of the hip joint and correct treatment, incl. early surgery, not only because of the influence of adductors on standing and gait but also on the development of the hip joint in children. The authors draw attention to the increased incidence of subluxations and luxations of the hip joint in recent years in children with CP who were not operated or where the muscular balance and contractures of the hip joint were not modified. They emphasize the fact that in children where tenotomy of the adductors was performed in time before the age of 8 years, with a single exception luxation did not develop. In the authors' opinion tenotomy at the age of cca 11 years is an essential operation but in view of the development of skeletal changes it is late. The authors recommend to pay increased attention to the problem of adductors in CP as regards diagnosis and technical aspects of the operation.
Smetana
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V
Ortopedická klinika dĕtí a dospĕlých 2. lékarské fakulty KU, Praha.
Schejbalová
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A
D000293:Adolescent; D000328:Adult; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D006616:Hip Contracture / Q000209:etiology / Q000601:surgery*; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D007223:Infant; D013710:Tendons / Q000601:surgery*
Význam tenotomie adduktorů pro lécení projevů dĕtské mozkové obrny na dolních koncetinách.