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Article
April 2, 1927

AN OPERATION FOR THE RELIEF OF PARALYSIS OF THE GLUTEUS MAXIMUS MUSCLE

JAMA. 1927;88(14):1063-1064. doi:10.1001/jama.1927.02680400019007
Abstract

Paralysis of the gluteus maximus muscle is seen very frequently in poliomyelitis.1 To the present, constructive measures offered for its relief are few.2 When the paralysis is so extensive that the patient cannot raise the leg against gravity, the gait is very unsightly and disabling. The hip joint is often flexed, especially when the thigh flexors have good power, and dislocation of the hip joint may occur.

It is my intention in this paper to present a new method for the relief of gluteus paralysis, and to discuss briefly the operations of Lange and Kreuscher, and also that of Legg3 for gluteus medius paralysis.

Lange frees the outer half or two thirds of the lower end of the sacrospinalis muscles from the surrounding muscles and the ilium. Several long heavy silk strands are attached to the trochanter and passed upward under the skin and sutured to the

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