Tenotomy of the Gluteus Maximus in Total Hip Arthroplasty with Prevention of Sciatic Nerve Injury

The authors report a single case of complex primary hip total arthroplasty in a 34-year-old female patient with a 5.5 cm lower limb dysmetria, in whom a maximum gluteus tenotomy was performed in order to prevent sciatic nerve injury. The surgery was performed under electroneurophysiological monitori...

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Autores principales: Paiva, Leonardo Morais, Oliveira, Karina Maria Alécio de, Macedo Souto, Diogo Ranier de, Macedo Neto, Sílvio Leite de, Kircov, Nicolay Jorge Bonvine, Freitas, Anderson
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510581/
https://www.ncbi.nlm.nih.gov/pubmed/31363269
http://dx.doi.org/10.1016/j.rbo.2017.07.001
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author Paiva, Leonardo Morais
Oliveira, Karina Maria Alécio de
Macedo Souto, Diogo Ranier de
Macedo Neto, Sílvio Leite de
Kircov, Nicolay Jorge Bonvine
Freitas, Anderson
author_facet Paiva, Leonardo Morais
Oliveira, Karina Maria Alécio de
Macedo Souto, Diogo Ranier de
Macedo Neto, Sílvio Leite de
Kircov, Nicolay Jorge Bonvine
Freitas, Anderson
author_sort Paiva, Leonardo Morais
collection PubMed
description The authors report a single case of complex primary hip total arthroplasty in a 34-year-old female patient with a 5.5 cm lower limb dysmetria, in whom a maximum gluteus tenotomy was performed in order to prevent sciatic nerve injury. The surgery was performed under electroneurophysiological monitoring of the fibular and tibial branches of the sciatic nerve, collecting pretenotomy, posttenotomy, and postarthroplasty reduction data. The findings demonstrate that the maximum gluteus tenotomy improved the motor response of the fibular component of the sciatic nerve.
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spelling pubmed-65105812019-07-29 Tenotomy of the Gluteus Maximus in Total Hip Arthroplasty with Prevention of Sciatic Nerve Injury Paiva, Leonardo Morais Oliveira, Karina Maria Alécio de Macedo Souto, Diogo Ranier de Macedo Neto, Sílvio Leite de Kircov, Nicolay Jorge Bonvine Freitas, Anderson Rev Bras Ortop (Sao Paulo) The authors report a single case of complex primary hip total arthroplasty in a 34-year-old female patient with a 5.5 cm lower limb dysmetria, in whom a maximum gluteus tenotomy was performed in order to prevent sciatic nerve injury. The surgery was performed under electroneurophysiological monitoring of the fibular and tibial branches of the sciatic nerve, collecting pretenotomy, posttenotomy, and postarthroplasty reduction data. The findings demonstrate that the maximum gluteus tenotomy improved the motor response of the fibular component of the sciatic nerve. Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda 2019-04 2019-05-10 /pmc/articles/PMC6510581/ /pubmed/31363269 http://dx.doi.org/10.1016/j.rbo.2017.07.001 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Paiva, Leonardo Morais
Oliveira, Karina Maria Alécio de
Macedo Souto, Diogo Ranier de
Macedo Neto, Sílvio Leite de
Kircov, Nicolay Jorge Bonvine
Freitas, Anderson
Tenotomy of the Gluteus Maximus in Total Hip Arthroplasty with Prevention of Sciatic Nerve Injury
title Tenotomy of the Gluteus Maximus in Total Hip Arthroplasty with Prevention of Sciatic Nerve Injury
title_full Tenotomy of the Gluteus Maximus in Total Hip Arthroplasty with Prevention of Sciatic Nerve Injury
title_fullStr Tenotomy of the Gluteus Maximus in Total Hip Arthroplasty with Prevention of Sciatic Nerve Injury
title_full_unstemmed Tenotomy of the Gluteus Maximus in Total Hip Arthroplasty with Prevention of Sciatic Nerve Injury
title_short Tenotomy of the Gluteus Maximus in Total Hip Arthroplasty with Prevention of Sciatic Nerve Injury
title_sort tenotomy of the gluteus maximus in total hip arthroplasty with prevention of sciatic nerve injury
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510581/
https://www.ncbi.nlm.nih.gov/pubmed/31363269
http://dx.doi.org/10.1016/j.rbo.2017.07.001
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