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[Girdlestone's hip resection. Clinical and electromyocinesigraphic study]
A Chamay1, W Taillard, N Kritsikis
1Orthopädisch-traumatologische Abteilung, Kantonsspital Genf.
Der Orthopade
|August 1, 1987
Summary
Hip excision surgery outcomes show varying mobility and pain levels. Electromyocinesigraphy revealed abnormal muscle activity patterns in operated legs and compensatory changes in non-operated legs.
Area of Science:
- Orthopedic Surgery
- Rehabilitation Medicine
- Biomechanical Engineering
Background:
- Femoral head and neck excision is a surgical procedure.
- Post-operative functional outcomes require thorough evaluation.
Purpose of the Study:
- To assess functional outcomes (walking, pain) after femoral head and neck excision.
- To investigate muscle function using electromyocinesigraphy (EMG) in patients post-excision.
Main Methods:
- Retrospective study of 47 patients (45 unilateral, 2 bilateral) with femoral head and neck excision.
- Follow-up duration ranged from 6 months to 6 years.
- Functional assessment included walking ability and pain levels; EMG was performed on 6 patients.
Main Results:
- 55% walked well with one cane, 31% with two canes, 14% needed assistance.
- 31% were pain-free, 55% experienced pain on fatigue, 14% had constant pain.
- EMG showed no hip abductor innervation, high rectus anterior activity, abnormal erector spinae activity, and increased non-operated leg abductor activity.
Conclusions:
- Femoral head and neck excision impacts gait and pain significantly.
- Abnormal muscle activation patterns observed post-surgery suggest functional deficits.
- Compensatory mechanisms in non-operated limbs are evident, highlighting the need for targeted rehabilitation.