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

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 mig...

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Detalles Bibliográficos
Autores principales: de Almeida, Thiago Danilo Rodrigues, Carvalho, Paulo Roberto Carvalho, Cavalcanti, Brauner de Souza, Cordeiro, Gabriel Guerra, Siqueira, Caio César Barbosa, Aires, Vinicius Gueiros Buenos, Rolim, EpitÁcio Leite
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ATHA EDITORA 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10112350/
https://www.ncbi.nlm.nih.gov/pubmed/37082154
http://dx.doi.org/10.1590/1413-785220233101e256215
Descripción
Sumario: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.