Proximal rectus femoris lengthening.
There are two main problems with muscle tendon lengthening: thinness created by the technical procedure weakens the tendon, and in short tendons, lengthening may not provide enough length for the amount of joint motion required. In proximal rectus femoris lengthening, the distal ends of the reflected and straight heads are sutured together. Using this technique, the tendon will not be thinned, and a later second lengthening is possible.
Guerado
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Department of Orthopedic and Traumatic Surgery, University of Malaga, Hospital Costa del Sol, Marbella, Spain.
de la Varga
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D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D006616:Hip Contracture / Q000145:classification / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D018482:Muscle, Skeletal / Q000601:surgery*; D016059:Range of Motion, Articular; D012720:Severity of Illness Index; D013536:Suture Techniques; D013709:Tendon Transfer / Q000009:adverse effects / Q000379:methods*; D013710:Tendons / Q000601:surgery*; D016896:Treatment Outcome