Abstract
Patients with myelomeningocele pose many problems. Muscle imbalance about the hip described in this communication is only one. The correction of this imbalance by removing a deforming force and using the iliopsoas transfer to provide active abductor power and greater stability of the hip usually resulted in improved function and better gait.
The problems of myelomeningocele are sometimes overwhelming and require proper facilities and specially trained personnel. It is a unique medical disorder and deformities of the hip must be treated as such. The application of principles learned for the treatments of other hip deformities do not apply.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Cruess, R L & Turner, N S (1970). Paralysis of the hip abductor muscles in spina bifida. Results of treatment by mustard procedure. J.B.J.S. 52A, 1364–1372.
Drennan, J C & Freehafer, A A (1971). Fractures of the lower extremities in paraplegic children. Clin. Orthop. 77, 211–217.
Freehafer, A A, Vessely, J C & Mack, R P (1972). Iliopsoas transfer in the treatment of myelomeningocele patients with paralytic hip deformities. J.B.J.S. 54A, 1715–1729.
Hayes, J T, Gross, H P & Dow, S (1964). Surgery for paralytic defects secondary to myelomeningocele and myelodysplasia. J.B.J.S. 46A, 1577–1597.
Heyman, C H (1963). Long-term results following a bone shelf operation for congenital and some other dislocations of the hip in children. J.B.J.S. 45A, 113–1146.
Kilfoyle, R M, Foley, J J & Norton, P L (1965). Spine and pelvic deformity in childhood and adolescent paraplegia. J.B.J.S., 47A, 659.
Menelaus, M D (1969). Dislocation and deformity of the hip in children with spina bifida cystica. J.B.J.S. 51B, 238–251.
Mustard, W T (1952). Iliopsoas transfer for weakness of the hip abductors. J.B.J.S. 34A, 647–650.
Mustard, W T (1959). A follow-up study of iliopsoas transfer for hip instability. J.B.J.S. 41B, 289–298.
Sharrard, W J W (1964). Posterior iliopsoas transplantation in the treatment of paralytic dislocation of the hip. J.B.J.S. 46B, 426–444.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Freehafer, A. The treatment of myelomeningocele patients with paralytic hip deformities by iliopsoas transfer. Spinal Cord 11, 295–305 (1974). https://doi.org/10.1038/sc.1973.43
Issue date:
DOI: https://doi.org/10.1038/sc.1973.43
