EVALUATION OF TENOTOMY IN THE HIP SUBLUXATION TREATMENT OF CHILDREN WITH ZIKA SYNDROME.

Autor: de Almeida TDR; Universidade Federal de Pernambuco, Getúlio Vargas Hospital, Recife, Brazil., Carvalho PRC; Universidade Federal de Pernambuco, Getúlio Vargas Hospital, Recife, Brazil., Cavalcanti BS; Universidade Federal de Pernambuco, Getúlio Vargas Hospital, Recife, Brazil., Cordeiro GG; Universidade Federal de Pernambuco, Getúlio Vargas Hospital, Recife, Brazil., Siqueira CCB; Universidade Federal de Pernambuco, Getúlio Vargas Hospital, Recife, Brazil., Aires VGB; Universidade Federal de Pernambuco, Getúlio Vargas Hospital, Recife, Brazil., Rolim EL; Universidade Federal de Pernambuco, Getúlio Vargas Hospital, Recife, Brazil.
Jazyk: angličtina
Zdroj: Acta ortopedica brasileira [Acta Ortop Bras] 2023 Apr 17; Vol. 31 (spe1), pp. e256215. Date of Electronic Publication: 2023 Apr 17 (Print Publication: 2023).
DOI: 10.1590/1413-785220233101e256215
Abstrakt: Objectives: Evaluate the efficacy and effects of releasing the muscles of subluxated hips of patients with SCZ.
Methods: This is a retrospective study with 29 patients with subluxation of the hip, corresponding to 55 hips operated in a public hospital in Recife, Brazil. Preoperative femoral head migration (PM) percentages were evaluated and compared with 6- and 12-month postoperative results.
Results: Twenty-nine patients were eligible, representing 55 hips evaluated. 19 were female (65.5%), with a mean age of 31.45 months (ranging from 23 to 42 years). 19 patients were GMFCS level V (65.5%), 34.5% were level IV, and 20 of the 29 patients (69%) had no complications. The PM had an absolute reduction of 11.6% (GMFCS IV) and 13.31% (GMFCS V) in the first six months. After 12 months, there was a regression of MP of 7.14% (GMFCS V) and 11.25% (GMFCS IV) compared to preoperative values, with no significant statistical difference among MP values presented between 6 and 12 months after surgery.
Conclusions: The surgery was effective in PM regression during the analyzed period and presented a low complication rate. Level of Evidence III; Comparative retrospective study.
Competing Interests: All authors declare no potential conflict of interest related to this article.
Databáze: MEDLINE