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Year : 1988  |  Volume : 22  |  Issue : 1  |  Page : 36-40

Role Of Early Surgery In Flexion Deformity Of Hip And Knee In Spastic Cerebral Palsy



Correspondence Address:
K. M Pathi


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Twenty-five patients of cerebral palsy (15 diparetic, 7 quadriparetic and 3 hemiparetic) treated by hip flexor release and hamstring transfer to femoral condyles are presented. It is concluded that hip flexion deformity is the primary abnormality in spastic cerebral palsy responsible for the characteristic crouching posture and excessive lumber lordosis. Unstable posture after hamstring transfer is secondary to hip deformity. The myotomy described will reverse this unstable posture. Not only it corrects hip and knee deformities but also augments the progressive development of hip abductors and extensors. The short term results of this small series (length of follow-up is 6 months to 4 years) indicate release of aforementioned muscles early in life results in development of more normal posture, a better gait and appears to reduce the need of other procedures like adductor release and tendo-achillis lengthening.


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