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Soft tissue release around the hip joint in cerebral palsy

山口医学 Volume 50 Issue 6 Page 813-817
published_at 2001-12-31
B030050000603.pdf
[fulltext] 816 KB
Title
脳性麻痺児の股関節周囲筋解離術について
Soft tissue release around the hip joint in cerebral palsy
Creators Sugu Mototsugu
Creators Kaichi Itsurou
Creators Fujii Kenzo
Creators Kojima Takanori
Source Identifiers
Creator Keywords
脳性麻痺 股関節 筋解離術 腱延長術
Soft tissue release around the hip joint was performed in twenty children (thirty-seven hips) with cerebral palsy. The evaluation of the derangement, methods of lengthening and the amount of each muscles elongated by this methods were studied. The extensor muscles around the hip joint were elongated until extension of the knee joint became 170°. The adductor muscles were elongated until abduction of the hip joint became 40°. The flexsor muscles were elongated until extension of the hip joint became 0°. The mean age at the time of operation was 6.4 years (renge from 3.2 years to 14.5 years) and the mean follow-up duration was 4 years and 6 months. Soft tissues were elongated in all hips by these procedures. Nine Salter's innominate osteotomy, one Chiari's pelvic osteotomy and one resection of the femoral head were added simultaneously. Clinically motor functions were improved in all children and radiological results were satisfactory in all but 5 hip joints. We consider that the amount of elongation of the muscles around the hip joint in cerebral palsy should be decided under general anesthesia at the time of the operation using range of motion of the joint.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 2001-12-31
Rights
本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである()
File Version Version of Record
Access Rights open access
Relations
[ISSN]0513-1731
[NCID]AN00243156
[isVersionOf] [NAID]http://ci.nii.ac.jp/naid/110002774159/
Schools 医学部