جابه جه كردن (ترانسفر) عضله اكسترنال ابليك در فلج عضله ابداكتور هيپ

Abductor Paralysis and External Oblique Transfer

Background: Hip instability and abductor and extensor insufficiency can be seen in different conditions. One of these, no longer seen in many countries, but still a common illness in some others, is poliomyelitis. Tendon transfer is an option which can give stability and improved function. Material and Methods: The case histories of all the patients treated for hip abduction insufficiency from 1987-1997 in our hospital were reviewed. A total of 21 patients with 21 hips all affected by poliomyelitis and all operated by the senior author (G.H.S) was identified. Only 18 patients (5 male, 13 female) could be contacted and recalled for evaluation. The patients mean age at surgery was 15 years and 5 months and the average follow-up was 5 years. The end results were obtained on the basis of clinical results and paraclinical tests. Results: An improvement in gait with decreased limp and swaying and increase ability to walk long distances was seen in 17 patients. 9 patients became free of their assistive ambulatory device. Subjective improvement was observed in 16 patients. The main reason for the satisfaction in a decreasing order were: improved appearance with decreased body swaying and limp in gait, sense of stability, decreased fatigability in walking and walking without the need to put a hand on the thigh or pick up the limb with hand. Conclusion: External oblique transfer in hip abductor paralysis is effective and helpful in improving the cosmesis of gait and the ambulatory power.