Transplantation of Medial Hamstring Tendon (Semimenbranosus, Semitendinosus and Gracillis) to Medial Femoral Condyles in Cerebral Paralysis A Modified Method of Eggers Operation

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In treatment of cerebral paralysis rehabilitation is essential, but surgical methods are also considerably useful as supplementary procedure.There are many reports concerning improving-operation of kneeflexions occur in cerebral paralysis. We tried a modified method of Eggers operation transplants medial hamstring only to femoral condylus in 28 legs of 16 patients, consisted of 14 cases with spastic type and 2 cases with athetoid type, and 24 among 28 legs improved remarkably in knee-flexion and 12 among 15 legs with internal rotation at the hip improved remarkably in internal rotation. Consequently, up to present, on patient showed genu recurvatum due to over correction and a trend of recurrence.It is necessary to make long-term observation to valuate operation effect of our method. Operation of muscle and tendon seems to be held possibility of recurrence easier than operation of bone and joint, but has an advantage to be enable secondary operation if necessary.In these viewpoint, we expect rather earlier effect of rehabilitation in combination of our method to cautiously selected materials.
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