脳性麻痺児の股関節脱臼予防に対する手術

抄録

The most serious deformity that can develop in the lower limb in cerebral palsy is dislocation of the hip.
In the early stages of development of subluxation, in our 25 hips, both iliopsoas and adductor release are sufficient to prevent the progress of subluxation towards dislocation. In older children of them, over the age of five years, we have found no further deterioration, but in 5 of 14 hips no cnange of view radiologically after release of iliopsoas and adductor.
On the other hand, in 7 of 38 hips, we could not prevent the progress of subluxation, when released the adductor only.