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The Journal of Bone and Joint Surgery, Vol 66, Issue 2 224-227, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc


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Iliopsoas transfers in children with myelomeningocele

WH Bunch and MW Hakala

Thirty-two paralytic hips in seventeen children with myelomeningocele and a neural deficit at the fourth lumbar level were treated with iliopsoas transfers. Four to fourteen years later, all of the hips were reduced and nineteen had a center-edge angle of more than 25 degrees. This result was more consistent in the hips of the ten patients who had had a combined varus osteotomy and transfer. All but three of the transferred muscles were active: twenty-one had abduction and fifteen had extension against gravity. We concluded that the procedure has value, but that it does not produce a normal hip.
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L. L. TOSI, B. D. BUCK, S. S. NASON, and D. W. MCKAY
Dislocation of the Hip in Myelomeningocele. The McKay Hip Stabilization
J. Bone Joint Surg. Am., May 1, 1996; 78(5): 664 - 73.
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