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.
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 |