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Transfer of the psoas tendon to the, at its origin detached, rectus femoris muscle in infantile cerebral palsy

Posted on January 29th 2010
Summary Objectives  Correction of flexion contracture of hip allowing an erect position while standing and walking. The gain in function helps to prevent a neurogenic dislocation of the coxofemoral joint. Indications  In infants with cerebral palsy unable to straighten the body before they can stand or walk. In ambulatory spastic children and adolescents with bothersome hip flexion contracture. Contraindications  Severe retardation of motor development in patients with cerebral palsy in whom walking and standing cannot be anticipated. Marked spastic-dystonic muscle weakness. Surgical Technique  In general, soft tissue releases at hip and knee are performed at the same sitting. Anterior approach to the hip. Detachment o...

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