S. Tada

Iliopsoas Recession in Spastic Hip-Flexion Deformity

It is common knowledge that attempts to correct spastic hip-flexion deformity in patients with cerebral palsy often fail when established procedures, such as the Ober-Yount fasciotomy, the rectus femoris release, adductors myotomy and obturator neurectomy, the Campbell or. Soutter muscle-slide operation, and iliopsoas tenotomy, are used. Because of the previous failures of correction of the spastic hip-flexion deformity after the usual operations, Bleck concluded that a method of controlled lengthening of the iliopsoas, termed iliopsoas recession, might give better results than simple tenotomy. Recently we also treated sixteen patients, twenty hips with spastic hip-flexion deformity by iliopsoas recession. It is the purpose of this article to report on the indication, method, and benefit of this procedure.

Effect of Supracondylar Osteoclasis of the Femur in Severely Paralyzed Limb. -Clinical Results

Before applying Long Leg Brace to the severe paralytic leg, having flexor deformity of the knee, supra-condylar osteotomy is often chosen for correcting the alignment of the leg.In these cases we tried osteoclasis manually after drilling of the femur at supracondylus circulatory through skins.Merits1) Operative field is small.2) Operative time is short.3) No need of nailing, only casting.4) Bone fusion is relatively good.Fault1) Indication is limited.