用于治疗寨卡综合征患儿髋关节半脱位的肌腱切断术评估
EVALUATION OF TENOTOMY IN THE HIP SUBLUXATION TREATMENT OF CHILDREN WITH ZIKA SYNDROME.
作者信息
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
机构信息
Universidade Federal de Pernambuco, Getúlio Vargas Hospital, Recife, Brazil.
出版信息
Acta Ortop Bras. 2023 Apr 17;31(spe1):e256215. doi: 10.1590/1413-785220233101e256215. eCollection 2023.
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.
目的
评估释放精神分裂症患者半脱位髋关节肌肉的疗效和效果。
方法
这是一项回顾性研究，研究对象为29例髋关节半脱位患者，对应于巴西累西腓一家公立医院接受手术的55个髋关节。评估术前股骨头移位（PM）百分比，并与术后6个月和12个月的结果进行比较。
结果
29例患者符合条件，共评估55个髋关节。19例为女性（65.5%），平均年龄31.45个月（范围为23至42岁）。19例患者为GMFCS V级（65.5%），34.5%为IV级，29例患者中有20例（69%）无并发症。在前六个月中，PM绝对降低了11.6%（GMFCS IV级）和13.31%（GMFCS V级）。12个月后，与术前值相比，MP回归了7.14%（GMFCS V级）和11.25%（GMFCS IV级），术后6至12个月之间呈现的MP值之间无显著统计学差异。
结论
在所分析的时间段内，手术在PM回归方面有效，且并发症发生率较低。
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