Modified Ober's Operation for Treatment of Gluteus Maximus Paralysis Following Poliomyelitis——A Report of 78 Cases / 第三军医大学学报

ABSTRACT

This paper is to report the therapeutic results of 78 cases of gluteus maxi-mus paralysis resulting from poliomyelitis with the modified Ober's operation. 64 cases out of the 78 have been followed up for 2 years and 9 months on average. The whole course of the treatment was completed in 52 cases. Among them, 10 of the 14 cases walking with 2 crutches preoperatively could walk with only one after operation, 23 of the 25 cases walking with one crutch. before operation could walk with a limping leg but no crutch, and all the 13 cases walking with hand stabilization of the knee before operation could walk independently after operation. After the reconstruction, the strength of the muscle reached grade II in 37 cases, grade II+ in 16, and grade III in 11.In addition, the details of the modified Ober's operation were introduced, and the problems of the indications and staging of the operation and the mechanism of therapeutic efficiency were discussed.