Treatment for disorders of the hip secondary to cerebral palsy.
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概要
- 論文の詳細を見る
Femoral and pelvic osteotomy combined with muscle release were chosen in the management of the secondary structural changes in the hips of cerebral palsy. Five adults with seven involved hips (group A) had osteoarthritic changes, and two children with four hips (group B) suffered from nonambulatory quadriplegia. Muscle release and femoral osteotomy were performed for both groups, in addition to spherical acetabular osteotomy in the A group without growth potential of the acetabulum, and Pemberton's osteotomy for the acetabulum in the B group. The mean follow-up period was 2 years and 9 months in group A and 1 year and 6 months in group B.Clinical and roentgenographic results are generally satisfactory in both groups. Acetabular procedures with muscle release are very important in joint stability for severe subluxation or dysplasia of the hips in cerebral palsy.
- 西日本整形・災害外科学会の論文
著者
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平川 俊一
宮崎医科大学整形外科学教室
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森田 信二
宮崎医科大学 整形外科
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三股 恒夫
宮崎医科大学整形外科
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長鶴 義隆
宮崎医科大学 整形外科
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麻生 邦典
宮崎医科大学 整形外科
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三股 恒夫
宮崎医科大学 整形外科
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平川 俊一
宮崎医科大学 整形外科
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