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Treatment of Paralytic Hip Dislocation in Children with Myelomeningocele by a Combination of Innominate Pelvic Osteotomy, Intertrochanteric Femoral Osteotomy, and Muscle Transfer

The results of 64 operations to correct paralytic dislocation of the hip in children with myelomeningocele (MMC) were reviewed. Innominate pelvic osteotomy was combined with intertrochanteric femoral osteotomy and a muscle transfer. The mean follow-up period is 4 years 4 months. The results show that permanent bony stability of the hip joint can be achieved with a combination of these surgical procedures. Because this surgical treatment leads to no true improvement in functional ability, use of orthotic devices was not decreased.