Skip Navigation LinksHome > July 2011 - Volume 20 - Issue 4 > Soft tissue release of the spastic hip by psoas–rectus trans...
Journal of Pediatric Orthopaedics B:
doi: 10.1097/BPB.0b013e328344c529

Soft tissue release of the spastic hip by psoas–rectus transfer and adductor tenotomy for long-term functional improvement and prevention of hip dislocation

Heimkes, Bernharda; Martignoni, Kathrina; Utzschneider, Sandraa; Stotz, Siegfriedb

Collapse Box


The purpose of this study was to assess the long-term development of children with cerebral palsy treated with soft tissue releases of the hip and, if necessary, also of the hamstrings and the Achilles tendon. The follow-up had to consider the functional status and the hip centration. Seventy-one patients (46 with tetrapareses, 24 with dipareses, and one with triparesis) who underwent soft tissue releases of the hip by the so-called psoas–rectus transfer at an average age of 7 years were assessed preoperatively, after 1 year and at an average age of 19 years. Functional status and the radiological lapse were assigned. The functional status of the patients significantly improved (P<0.001) after surgery. The number of patients who were able to walk increased from 49.3 to 80.3%. The migration percentage decreased from 26.6 to 17.3%. For medium-to-severe functional deficits, a clear gain of function and a safe prevention of spastic hip luxation were achieved.

© 2011 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.