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

ABSTRACT 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 femor...

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Main Authors: Thiago Danilo Rodrigues de Almeida, Paulo Roberto Carvalho Carvalho, Brauner de Souza Cavalcanti, Gabriel Guerra Cordeiro, Caio César Barbosa Siqueira, Vinicius Gueiros Buenos Aires, EpitÁcio Leite Rolim Filho
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2023-04-01
Series:Acta Ortopédica Brasileira
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000200200&lng=en&tlng=en
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Summary:ABSTRACT 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.
ISSN:1413-7852