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Myelomeningocele sharrard

R Hammesfahr, S Topple, K Yoo, T Whitesides, A M Paulin
Hip abductor paralysis leads to gait abnormalities and to hip instability. Correction of abductor paralysis was first done by Mustard in patients with poliomyelitis and later adapted by Sharrard for patients with a myelomeningocele. The Mustard-Sharrard procedure is technically difficult, with strict indications for patient selection. By contrast, the external oblique transfer of Thompson has broad applicability and is a relatively simple operative procedure. This is a preliminary report of 37 external oblique transfers performed on poliomyelitic patients...
March 1, 1983: Orthopedics
Kamil Cagri Kose, Mustafa Erkan Inanmaz, Mustafa Uslu, Emre Bal, Islam Caliskan
This study is a case report of a meningomyelocele patient with congenital kyphosis who was treated with kyphectomy and a special approach to soft tissue healing. The objective of this study is to show a step by step approach to surgical treatment and postoperative care of a meningomyelocele patient with congenital kyphosis. In meningomyelocele the incidence of kyphosis is around 12-20%. It may cause recurrent skin ulcerations, impaired sitting balance and respiratory compromise. Kyphectomy has first been described by Sharrard...
June 2012: International Wound Journal
Andrzej Szulc
The purpose of this article is to present the current principles of comprehensive assessment and treatment of patients with myelomeningocele. We present the connection between the level of neurosegmental lesion according to modified Sharrard's classification and functional abilities of the patient. We describe lower limbs deformity typically associated with neurosegmental lesions of spina bifida at different levels (I to VI). The classification of neurosegmental lesion levels is based on an evaluation of muscle strength of individual muscle groups according to the Lovett scale...
March 2011: Ortopedia, Traumatologia, Rehabilitacja
Francisco J Lorente Moltó, Ignacio Martínez Garrido
The data from 58 hips in 29 myelodysplastic children with L3 paralysis has been reviewed retrospectively. Posterolateral transfer of the iliopsoas (Sharrard technique) was performed on all hips to correct muscle imbalance between 1975 and 1992. The average length of follow-up was 21 years. Preoperatively, 58.6% of the hips were either subluxated or dislocated (these were surgically reduced at the same stage). Radiological assessment revealed that 91.4% of the hips were stable at preschool age and 84.5% in adolescence...
May 2005: Journal of Pediatric Orthopedics. Part B
A Hirayama, K Yamada, Y Tanaka, N Hirata, M Yamamoto, T Suemori, H Momose, T Shiomi, S Oozono, Y Hirao
In the present study, sexual function in 46 patients (22 males and 24 females) with myelomeningocele was assessed by a questionnaire study. The mean age of the patients was 24.0 +/- 9.6 years (with an age range of 18 to 50) for male patients and 25.2 +/- 6.2 years (with an age range of 18 to 42) for female patients. Having interest in the opposite sex and sexual desire were evident in 95% and 100% of male patients, and 83% and 75% of female patients, respectively. In male patients, erection was achieved in 95% by visual stimulation and in 86% by tactile stimulation...
December 1995: Hinyokika Kiyo. Acta Urologica Japonica
D A Yngve, R E Lindseth
Thirty-five hips with muscle weakness, in ambulatory myelomeningocele patients, received muscle transfer surgery. In each hip, procedures were done either to augment the abductor side of the joint (Sharrard transfer or external oblique transfer) or to weaken adduction (adductor release or adductor transfer) or both. In addition, femoral osteotomy was performed in some patients. Surgery was evaluated by reviewing preoperative and follow-up radiographs. If radiography demonstrated 5 degrees of improvement in the CE angle or the acetabular index, the hip was considered improved...
June 1982: Journal of Pediatric Orthopedics
W J Sharrard
No abstract text is available yet for this article.
June 1983: Developmental Medicine and Child Neurology
W J Sharrard
No abstract text is available yet for this article.
August 1968: Journal of Bone and Joint Surgery. British Volume
W J Sharrard, I Grosfield
No abstract text is available yet for this article.
August 1968: Journal of Bone and Joint Surgery. British Volume
W J Sharrard, R B Zachary, J Lorber
No abstract text is available yet for this article.
1967: Developmental Medicine and Child Neurology
W J Sharrard, J Webb
No abstract text is available yet for this article.
August 1974: Journal of Bone and Joint Surgery. British Volume
W J Sharrard, J C Drennan
No abstract text is available yet for this article.
February 1972: Journal of Bone and Joint Surgery. British Volume
C M McDonald, K M Jaffe, D B Shurtleff, M B Menelaus
The consistency between patterns of lower-limb muscle strengths in children with myelomeningocele and Sharrard's classic description of segmental innervation was examined in 291 patients. Although it has been assumed that medial hamstring innervation was from a similar neurosegmental level as gluteus medius, and gluteus maximus was from a similar level as gastrocnemius-soleus, the authors found that medial hamstring strength more frequently correlated with iliopsoas and quadriceps, and glutei with anterior tibialis...
June 1991: Developmental Medicine and Child Neurology
L J Benton, E A Salvati, L Root
In 17 myelomeningocele patients with subluxating or dislocated hips, 31 posterolateral iliopsoas were treated by transfers, as described by Sharrard, in addition to complimentary procedures to balance muscle power and center the hip joint. Surgical goals are to stablize the hips within the acetabulum and prevent the occurrence of severe fixed flexion and adduction contractures of the hip and secondary lumbar lordosis. Surgery is performed at about 1 year of age with bilateral adductor transfer to the ischium, followed in 2 weeks by the posterolateral transfer of the iliopsoas muscle, first on one hip and 2 weeks later following with the other hip...
July 1975: Clinical Orthopaedics and related Research
E Abraham, D G Verinder, W J Sharrard
A follow-up study, on average four years after operation, of seventy-six cildren with myelomeningocele who had surgical treatment for flexion contracture of the knee, is reported. After a single operation sixty-eight knees (55 per cent) had a contracture of less than 20 degrees, which was the main criterion of success. About half of the cases of transplantation of the hamstrings to the femur, division or elongation of the hamstrings, or supracondylar osteotomy had successful results. Transfer of the hamstring tendons to the patella was successful in nine of twelve instances, so giving the lowest rate of failure...
November 1977: Journal of Bone and Joint Surgery. British Volume
H Scherrer, H J Scheier, A Dörig, U Guekos, J Friderich
30 myelomeningocele patients which were surveyed at Zurich's Children's Hospital and at the Wilhelm Schulthess Clinic in the years from 1962 to 1976 have been postexamined. Significant for the rehabilitation of these children in respect for the gaining of their best ever possible independence and capability to walk are primarily the neurosegmental level of the lesion, the remaining motor power as well as intelligence and motivation. Of secondary significance is the orthopaedic operation whereby specifically the correction of fixed deformity is important...
August 1978: Helvetica Paediatrica Acta
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