Hamstring Tendon Transfer for Quadriceps Femoris Paralysis

• Published in: Journal of pediatric orthopaedics Vol. 16; no. 6; pp. 765 - 768
• Main Authors: Shahcheraghi, G Hossein, Javid, Mahzad, Zeighami, Bahram
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Hagerstown, MD Lippincott-Raven Publishers 01-11-1996; Lippincott
• Subjects: Adolescent; Adult; Biological and medical sciences; Child; Cranial nerves. Peripheral nerves. Autonomic nervous system; Electromyography; Female; Gait; Humans; Locomotion; Male; Medical sciences; Middle Aged; Neurosurgery; Paralysis - surgery; Patient Satisfaction; Postpoliomyelitis Syndrome - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tendon Transfer; Thigh; Treatment Outcome; Human; Nervous system diseases; Motor system disorder; Femoral muscle; Surgical transfer; Acute anterior poliomyelitis; Result; Infection; Treatment; Follow up study; Surgery; Viral disease; Central nervous system disease; Quadriceps muscle; Complication; Paralysis; Technique; Spinal cord disease; Tendon
• ISSN: 0271-6798; 1539-2570
• DOI: 10.1097/01241398-199611000-00012

SUMMARYFifteen cases of paralysis of the quadriceps muscles secondary to poliomyelitis were managed by hamstring tendon transfers with an average follow-up of 48 months. Results of 13.5% excellent, 73% good, and 13.5% fair were obtained, according to an objective scoring system. Significant improvement in gait pattern, relief from brace use, or “hand-on-thigh” ambulation was seen in all cases. A mean extension lag of 30° was observed in patients examined in the sitting position. Lack of active terminal knee flexion, prohibiting comfortable floor sitting, was the main untoward effect and the source of complaint in four patients.