A Case of LFTA of the Hip Joint with Splatt for Stroke Patient / 대한정형외과학회잡지

ABSTRACT

The clinical picture of adult hemiplegia caused by cerebrovascular lesion shows many variation, depending on the degree and distribution of paresis and spasticity. One of the most common deformities resulting from a stroke is equino-varus of the involved foot. If the equino-varus is due to moderately excessive pattern response, or moderate spasticity in the calf muscles, it can be controlled by a short leg brace. When the deforming forces are severe, surgery is necessary to make it possible for the patient to walk safely. It is quite obvious that there is some incidence of hip fracture following sequence of unsafe hemiplegic gait, among post stroke patients as reported by Rancho-Los-Amigo Hospital. This study reviews a preliminary report of a case of surgical treatment of a patient with post stroke who had sustained a hip fracture due to falling because of unbalanced hemiplegic gait. In this case there was performed a low friction arthroplasty of the hip joint because of the original X-ray. The former treatment was ignored because it would inevitably have produced avascular necrosis of the femoral head. The spastic equino-varus deformity was well corrected by means of split anterior tibialis tendon transfer, which is the normal surgery for stroke.