EVALUATION OF TENOTOMY IN THE HIP SUBLUXATION TREATMENT OF CHILDREN WITH ZIKA SYNDROME
Thiago Danilo Rodrigues de Almeida1, Paulo Roberto Carvalho Carvalho1, Brauner de Souza Cavalcanti1
1Universidade Federal de Pernambuco, Getúlio Vargas Hospital, Recife, Brazil.
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.
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