[Prevention of hip dislocation in children with cerebral palsy by early tenotomy of the adductor and psoas muscles].
[Prevention of hip dislocation in children with cerebral palsy by early tenotomy of the adductor and psoas muscles].
复制标题
早期内收肌和腰肌腱切断术预防脑瘫患儿髋关节脱位[J].
DOI：
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发表时间：
1993
期刊：
影响因子：
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通讯作者：
G. Allamel
中科院分区：
文献类型：
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作者：
M. Onimus;P. Manzone;G. Allamel
对24例重度残疾儿童40髋进行了腰大肌和内收肌早期腱切断术预防脑瘫患儿髋关节脱位的有效性研究。手术时的年龄范围为1岁半至10岁。通过测量Reimers'迁移百分比（MP）评价结果。平均随访时间为3年。67%的病例结局满意（末次随访时MP至少改善10%）。对年龄和手术时移位程度的相关性研究表明，在4岁以前接受手术的儿童中，90%的结果满意，其MP低于33%。为了具有预防价值，该手术应在2岁时进行，在髋关节脱位发生之前。
The effectiveness of early tenotomy of the psoas and adductor muscles for the prevention of dislocation of the hip dislocation in children with cerebral palsy precluding walking was studied in 40 hips in 24 children with severe disability. Age at the time of the procedure ranged from 1 1/2 years to 10 years. Results were evaluated by measuring Reimers' migration percentage (MP). Mean follow-up was three years. A satisfactory outcome (at least 10% improvement in MP at last follow-up) was seen in 67% of cases. The study of correlations with age and degree of displacement at surgery showed that results were satisfactory in 90% of children who had surgery before 4 years of age and whose MP was under 33%. To have preventive value, this procedure should be carried out at 2 years of age, before development of dislocation of the hip.