Journal of Bone and Joint Surgery, 1968;50:1437-1443.
© 1968 by The Journal of Bone and Joint Surgery, Inc
Subcutaneous Lower Limb Tenotomy in the Treatment of Pseudohypertrophic Muscular Dystrophy
DESCRIPTION OF TECHNIQUE AND PRESENTATION OF TWENTY-ONE CASES
IRWIN M. SIEGEL M. D.1,
JOSEPH E. MILLER M.D.2, and
ROBERT D. RAY M.D.3
1 4640 Marine Drive, Chicago, Illinois 60640
2 Montreal General Hospital, Montreal, Quebec, Canada
3 University of Illinois, College of Medicine, Chicago, Illinois 60612
The natural history of pseudohypertrophic muscular dystrophy leads ultimately to progressive lower-extremity contracture with loss of strength and balance until eventually walking is no longer possible. Subcutaneous lowe-extremity tenotomy and bracing have proved successful in the treatment of twenty-one patients.
We believe that this technique offers a method of prolonging walking in the patient with pseudohypertrophic muscular dystrophy. In so doing, confinement to a wheel chair or bed with its inevitable downhill course may be significantly forestalled.