Acta Chir Orthop Traumatol Cech. 2000; 67(4):234-238
[Iliopsoas muscle - one of the causes of neurogenous dislocation: technique of tenotomy and lengthening.].
- Ortopedická klinika detí a dospelých 2. LF UK a FN Motol, Praha.
An increased incidence of neurogenous dislocations in patients with infantile cerebral palsy led the authors mainly in the recent 4 years to change the surgical strategy in the region of hip joint. The authors describe their own technique of releasing of iliopsoas muscle in patients with infantile cerebral palsy and present indications of combinations of surgeries on muscles in he region of the hip joint. Surgery on muscles is performed and muscular balance is ensured in infantile cerebral palsy either in order to prevent later migration or even dislocation or in cases where the dislocation has already occurred as the basic or preliminary surgery for a closed or open reduction. In 70 % cases the progress of lateral migration of the hip joint in spastic patients has been improved and thus prevented by a combined surgery. Key words: infantile cerebral palsy, coxa valga antetorta neurogenes, subluxans, luxans, lateral migration of the head, tenotomy of adductors, tenotomy of iliopsoas muscle.
Published: January 1, 2000 Show citation