ADDUCTOR TRANSFERS IN CEREBRAL-PALSY - LONG-TERM RESULTS STUDIED BY GAIT ANALYSIS

Thirty-three ambulatory patients with spastic cerebral palsy underwent evaluation and gait analysis an average of 9.6 years after bilateral posterior adductor transfers to the ischium. All patients showed funct ional improvement postoperatively, which was maintained at long-term f ollow-up in 94%. Gait analysis, however, documented pelvic obliquity i n 85% of this group of patients. Associated with pelvic obliquity was a 36% incidence of unilateral hip subluxation. These complications of posterior adductor transfers have been difficult to treat and have res ulted in the abandonment of this procedure at our institution.