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percutaneous bilateral adductor tenotomy.
19%
132/677
oral baclofen.
4%
30/677
phenol injection into the obturator nerve.
1%
6/677
open adductor tenotomy with neurectomy of the anterior branch of the obturator nerve.
5%
31/677
open adductor tenotomy with release of the iliopsoas and bilateral proximal femoral varus derotation osteotomy.
69%
470/677
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The natural history of the patient’s hips, if left untreated, is gradual progression to dislocation. To prevent future pain, prevention of dislocation is often helpful. The patient is too old for soft-tissue releases alone. Therefore, the treatment of choice is medial release of both hips to obtain 45 degrees or better of hip abduction in conjunction with psoas tenotomy and bilateral femoral varus osteotomies.
2.7
(9)
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