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Hamstring tendon transfer for quadriceps femoris paralysis

G H Shahcheraghi¹, M Javid, B Zeighami

¹Nemazee Hospital, Shiraz, Iran.

Journal of Pediatric Orthopedics

|November 1, 1996

Summary

Hamstring tendon transfers effectively restored quadriceps muscle function in polio survivors, improving gait and reducing brace use. However, some patients experienced limited knee flexion, affecting floor sitting comfort.

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Area of Science:

Orthopedic surgery
Rehabilitation medicine
Infectious disease sequelae

Background:

Poliomyelitis can cause significant quadriceps muscle paralysis, impacting ambulation.
Restoring knee extension is crucial for functional recovery after polio.

Purpose of the Study:

To evaluate the efficacy of hamstring tendon transfers for managing quadriceps paralysis post-poliomyelitis.
To assess functional outcomes and patient-reported complications.

Main Methods:

Retrospective analysis of 15 patients with quadriceps paralysis due to poliomyelitis.
Management involved hamstring tendon transfers.
Average follow-up of 48 months.
Outcomes assessed using an objective scoring system.

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Main Results:

13.5% excellent, 73% good, and 13.5% fair results were achieved.
All patients showed improved gait, reduced brace dependency, or "hand-on-thigh" ambulation.
A mean knee extension lag of 30 degrees was noted in the sitting position.

Conclusions:

Hamstring tendon transfer is a viable surgical option for quadriceps paralysis following poliomyelitis.
The procedure significantly improves ambulation and functional independence.
Limited active terminal knee flexion, impacting floor sitting, is a notable complication.