The Journal of Bone and Joint Surgery, Vol 61, Issue 7 1035-1041, Copyright © 1979 by Journal of Bone and Joint Surgery, Inc
Tendon transfers in the paralytic hip
HE Cabaud, GW Westin and S Connelly
We analyzed the results of transfers of the iliopsoas or external oblique
muscles performed to augment the abductor power of the hips in 149 patients
with flaccid paralysis of the hips. More than 800 supplemental procedures
were performed on the lower extremities of these patients. Twenty-three of
the thirty-eight hips that had been subluxated or dislocated became stable
in the reduced position after the transfer operation. Every hip that had
been stable before the transfer remained stable, and thirty-seven patients
who had been brace-dependent became brace-free. We concluded that transfers
of the iliopsoas or external oblique muscles are useful adjuncts in the
treatment of paralytic disorders of the hips.