Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00042410.xml
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(02): 206-209
DOI: 10.1016/j.rbo.2017.07.001
DOI: 10.1016/j.rbo.2017.07.001
Case Report | Relato de Caso
Tenotomy of the Gluteus Maximus in Total Hip Arthroplasty with Prevention of Sciatic Nerve Injury
Article in several languages: português | EnglishFurther Information
Publication History
15 May 2017
13 July 2017
Publication Date:
10 May 2019 (online)
Abstract
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.
-
References
- 1 Higuchi Y, Hasegawa Y, Ishiguro N. Leg lengthening of more than 5 cm is a risk factor for sciatic nerve injury after total hip arthroplasty for adult hip dislocation. Nagoya J Med Sci 2015; 77 (03) 455-463
- 2 Farrell CM, Springer BD, Haidukewych GJ, Morrey BF. Motor nerve palsy following primary total hip arthroplasty. J Bone Joint Surg Am 2005; 87 (12) 2619-2625
- 3 Sutter M, Hersche O, Leunig M, Guggi T, Dvorak J, Eggspuehler A. Use of multimodal intra-operative monitoring in averting nerve injury during complex hip surgery. J Bone Joint Surg Br 2012; 94 (02) 179-184
- 4 Pring ME, Trousdale RT, Cabanela ME, Harper CM. Intraoperative electromyographic monitoring during periacetabular osteotomy. Clin Orthop Relat Res 2002; (400) 158-164
- 5 Martin HD, Reddy M, Gómez-Hoyos J. Deep gluteal syndrome. J Hip Preserv Surg 2015; 2 (02) 99-107