Paiva Leonardo Morais, Oliveira Karina Maria Alécio de, Macedo Souto Diogo Ranier de, Macedo Neto Sílvio Leite de, Kircov Nicolay Jorge Bonvine, Freitas Anderson
Serviço de Quadril, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil.
Hospital de Base do Distrito Federal, Brasília, DF, Brasil.
Rev Bras Ortop (Sao Paulo). 2019 Apr;54(2):206-209. doi: 10.1016/j.rbo.2017.07.001. Epub 2019 May 10.
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.
作者报告了一例34岁女性患者的复杂原发性髋关节全关节置换术，该患者下肢失调5.5厘米，为防止坐骨神经损伤，进行了最大臀肌切断术。手术在坐骨神经腓骨支和胫神经支的神经电生理监测下进行，收集了切断术前、切断术后和关节置换术后复位的数据。研究结果表明，最大臀肌切断术改善了坐骨神经腓骨成分的运动反应。
