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International Orthopaedics

, Volume 6, Issue 3, pp 149–154 | Cite as

Iliopsoas transfer in the management of established dislocation and refractory progressive subluxation of the hip in cerebral palsy

  • W. J. W. Sharrard
  • J. Burke
Article

Summary

The authors have reviewed 25 hips in 23 patients with cerebral palsy in which iliopsoas transfer had been performed for established dislocation or refractory progressive subluxation of the hip. The iliopsoas tendon was transferred either postero-laterally or antero-laterally, depending upon the degree of fixed flexion of the hip. An adductor release was performed in all cases and an open reduction when necessary. A painfree stable joint was produced except for one hip in which the iliopsoas tendon had become detached because of sepsis. The loss of flexor power at the hip due to the transfer is thought to be a small price to pay for the relief of pain and spasm and the increase in function.

Key words

Hip Dislocation Subluxation Cerebral palsy 

Résumé

Les auteurs ont effectué la révision de 25 hanches chez 23 malades atteints de paralysie cérébrale, qui ont bénéficié d'une transplantation du psoas pour luxation ou subluxation progressive de la hanche. Le tendon du psoas a été transféré par voie postéro-externe ou antéro-externe selon le degré de flessum irréductible de la hanche. La ténotomie des adducteurs a été pratiquée dans tous les cas ainsi qu'une réduction sanglante lorsqu'elle a été jugée nécessaire. On a ainsi obtenu une articulation stable et indolore sauf dans un cas où le tendon du psoas s'est désinséré à la suite d'une infection. La perte de force des fléchisseurs de la hanche résultant de la transplantation est de peu d'importance en regard du soulagement de la douleur et de la spasticité et de l'amélioration de la fonction.

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References

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Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • W. J. W. Sharrard
    • 1
  • J. Burke
    • 1
  1. 1.Orthopaedic DepartmentChildren's HospitalSheffieldEngland

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