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Abstract:

Longterm results of soft tissue release for hip and knee flexion mity in 27 patients with juvenile chronic arthritis (JCA) were evaluated. A total of 53 tenotomies were reviewed: 22 hips and 31 knees. Mean age at surgery was 12.1 years, with a mean underlying disease duration of 6.3 years and a postoperative followup of 5 years. Patients were evaluated at 3-6 months, then at one, 3 and 5 years. Results showed a marked drop in flexion contracture and an improvement in joint range up to the first 3 years postsurgery, but beyond this period benefits achieved were gradually partially lost. Only 37% of patients were able to walk before surgery. At one year followup, 81% were able to do so. Soft tissue release thus seems a beneficial therapeutic alternative to preserve both alignment and function in hip and knee flexion deformity affecting patients with JCA.

Registro:

Documento: Artículo
Título:Longterm followup of hip and knee soft tissue release in juvenile chronic arthritis
Autor:Moreno Alvarez, M.J.; Espada, G.; Maldonado-Cocco, J.A.; Gagliardi, S.A.
Filiación:Seccion Reumatologia, Instituto Nacional de Rehabilitation, Echeverria 955, 1428-Buenos Aires, Argentina
Palabras clave:hip; juvenile chronic arthritis; knee; soft tissue release; surgery; tenotomies; adolescent; article; child; controlled study; female; follow up; hip; human; juvenile rheumatoid arthritis; knee; male; priority journal; soft tissue; tenotomy; Adolescent; Arthritis, Juvenile Rheumatoid; Child; Child, Preschool; Chronic Disease; Female; Follow-Up Studies; Hip Joint; Human; Infant; Knee Joint; Male; Retrospective Studies; Support, Non-U.S. Gov't; Tendons; Time Factors
Año:1992
Volumen:19
Número:10
Página de inicio:1608
Página de fin:1610
Título revista:Journal of Rheumatology
Título revista abreviado:J. RHEUMATOL.
ISSN:0315162X
CODEN:JRHUA
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0315162X_v19_n10_p1608_MorenoAlvarez

Citas:

---------- APA ----------
Moreno Alvarez, M.J., Espada, G., Maldonado-Cocco, J.A. & Gagliardi, S.A. (1992) . Longterm followup of hip and knee soft tissue release in juvenile chronic arthritis. Journal of Rheumatology, 19(10), 1608-1610.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0315162X_v19_n10_p1608_MorenoAlvarez [ ]
---------- CHICAGO ----------
Moreno Alvarez, M.J., Espada, G., Maldonado-Cocco, J.A., Gagliardi, S.A. "Longterm followup of hip and knee soft tissue release in juvenile chronic arthritis" . Journal of Rheumatology 19, no. 10 (1992) : 1608-1610.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0315162X_v19_n10_p1608_MorenoAlvarez [ ]
---------- MLA ----------
Moreno Alvarez, M.J., Espada, G., Maldonado-Cocco, J.A., Gagliardi, S.A. "Longterm followup of hip and knee soft tissue release in juvenile chronic arthritis" . Journal of Rheumatology, vol. 19, no. 10, 1992, pp. 1608-1610.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0315162X_v19_n10_p1608_MorenoAlvarez [ ]
---------- VANCOUVER ----------
Moreno Alvarez, M.J., Espada, G., Maldonado-Cocco, J.A., Gagliardi, S.A. Longterm followup of hip and knee soft tissue release in juvenile chronic arthritis. J. RHEUMATOL. 1992;19(10):1608-1610.
Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0315162X_v19_n10_p1608_MorenoAlvarez [ ]