摘要
为矫正臀中小肌痉挛性髋内旋畸形，对8例脑瘫髋内旋畸形患儿共11髋采用Steel的手术方式．即将臀中小肌的止点由大转子前移至股骨近端的转子间线之下．使其功能由髋内旋转变为髋外旋，从而改善步态．使下肢在行走时接近中立位或轻度外翻位。结果：8例患儿术后平均随访5年11个月，优5例（7髋）．良3例（4髋）．无髋外展肌软弱的Trendelenburg征。提示此类手术必须严格选择病例．掌握手术要点，该术式既矫正了髋内旋畸形，又保持了臀中小肌外展功能．术后坚持步态的康复训练才能获得满意疗效。
In order to correct the spastic internal rotation deformity, Steel operation was used in 8 children (11hips) of cerebral palsy. Gluteus medius and minimus insertion were transferred from greater trochanter anterior to inferior part of intertrochanter line. Thus. its function of internal rotation of hip was trans formed to external rotation.After average follow up of 5 years and 11 months. satisfactory results were obtained: excellent, 5 cases (7 hips);good, 3 cases (4 hips). Steel operation could correct internal rotation deformity of hip and preserve abduction function of gluteus medius and minimus.
出处
《中国康复》
1999年第1期15-16,共2页
Chinese Journal of Rehabilitation
关键词
脑性瘫痪
髓内旋畸形
康复
儿童
cerebral palsy
internal rotation deformity
rehabilitation
