title: The effect of soft tissue release of the hips on walking in myelomeningocele.
abstract: Walking and standing capacity in myelomeningocele is highly dependent on the level of the neurological lesion. Deformities, mainly flexion deformities, of the hip can severely interfere with mobility. In a retrospective study, undertaken in our hospital, we evaluated the role of soft tissue release of the hip in patients with hip flexion contractures. A special surgical technique was performed in 55 hips. The results show a good effect on verticalization, even if the hip joints cannot be extended actively. A subluxated or dislocated hip did not influence the final outcome. During the mean follow-up of approximately 4 years, only a slight recurrence of the former deformity was observed. Most of the patients obtained great advantage from the operation.
authors.affiliation: Children's Orthopaedic Hospital, Aschau, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Correll
authors.forename: C
authors.initials: C
authors.lastname: Gabler
mesh_terms: D000293:Adolescent; D001696:Biomechanical Phenomena; D002648:Child; D002675:Child, Preschool; D005260:Female; D006616:Hip Contracture / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006617:Hip Dislocation / Q000209:etiology / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D008591:Meningomyelocele / Q000150:complications* / Q000503:physiopathology; D026741:Physical Therapy Modalities; D011182:Postoperative Care; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D016138:Walking / Q000502:physiology