Adductor transfers in cerebral palsy: Long-term results studied by gait analysis
Adductor transfers in cerebral palsy: Long-term results studied by gait analysis
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DOI：
10.1097/01241398-199611000-00008
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发表时间：
1996-11-01
影响因子：
1.7
通讯作者：
Cain, TE
中科院分区：
文献类型：
--
作者：
Scott, AC;Chambers, C;Cain, TE
对33例痉挛型脑性瘫痪患者在双侧后内收肌移位至坐骨后平均9.6年进行评估和步态分析。所有患者术后功能均有改善，94%的患者在长期随访时仍保持功能改善。然而，步态分析记录了这组患者中85%的骨盆倾斜。与骨盆倾斜相关的是36%的单侧髋关节半脱位。后内收肌移位的这些并发症一直难以治疗，并导致我们机构放弃了这一手术。
Thirty-three ambulatory patients with spastic cerebral palsy underwent evaluation and gait analysis an average of 9.6 years after bilateral posterior adductor transfers to the ischium. All patients showed functional improvement postoperatively, which was maintained at long-term follow-up in 94%. Gait analysis, however, documented pelvic obliquity in 85% of this group of patients. Associated with pelvic obliquity was a 36% incidence of unilateral hip subluxation. These complications of posterior adductor transfers have been difficult to treat and have resulted in the abandonment of this procedure at our institution.