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Iliopsoas Recession in Spastic Hip-Flexion Deformity
Title: Iliopsoas Recession in Spastic Hip-Flexion Deformity
Author: M. Nozoe; S. Tada; T. Tokuhisa (Shinkoen—A Prefectural Crippled Children Hospital)
Source: Orthopedics & Traumatology; ISSN:0037-1033; VOL.22; NO.3; PAGE.272-275; (1973)
Abstract: 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.
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