Article,

Unbalanced pelvic girdle in motor disability of cerebral origin. Success and limitations of adductor muscle tenotomy

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Rev Chir Orthop Reparatrice Appar Mot, 70 (4): 297--303 (1984)

Abstract

One hundred and fifty eight children with an unbalanced pelvis were reviewed. All suffered from cerebral palsy and were treated by tenotomy of the adductor muscles. The aims were: 1 - To improve the position of the femoral head. For this purpose, the best effects were obtained before the age of 4 so that acetabular dysplasia was prevented and the need for pelvic osteotomy, which is often hazardous in this type of patient, avoided. 2 - To achieve better balance of the pelvic girdle. Adductor tenotomy was often associated with tenotomy of the ilio-tibial tract or with division of the costo-iliac or ilio-lumbar muscles with posterior radiculotomies.

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