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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2017, Number 1

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Rev Mex Ortop Ped 2017; 19 (1)

Rectus femoris/sartorius deinsertion in open reduction with Salter osteotomy of hip dysplasia

Ríos RG, Ferniza GJ, Contreras ME, González BJ, Rodas AR

Language: Spanish
References: 32
Page: 13-17
PDF size: 169.26 Kb.


ABSTRACT

Introduction: When doing an open reduction (OR) and innominate osteotomy (IO) for the treatment of developmental dysplasia of the hip it is commonplace to do an adductor myotomy (AM), and do a disinsertion of the rectus femoris and sartrorius; the objective of this study is to compare the results of surgery when disinserting the rectus and when not. Material and methods: This was a retrospective cohort study of 122 patients undergoing AM, OR and IO between 2006 and 2011. 67 patients in group A (preserving the insertion) and 55 of group B (with disinsertion). The variables were gender, age, pre-surgery and post-surgery acetabular index, postsurgery McKay scale, surgery time, hemorrhage, infection, re-intervention. Student t-test and Pearson χ2 were used. Results: 4 males and 118 females patients. Age in months 24.8 (13-53) for A and 26.6 (17-61) for B. McKay for A, Excellent (32.8%), Good (43.3%), Acceptable (20.9%), Poor (3%); for B, Excellent (30.9%), Good (42.6%), Acceptable (23.6%), Poor (3.3%). infection a 4.5% and B 0%, reintervention A 6%, B 13%. Surgery time, 125.5 minutes for A, 128.8 for B, p= 0.57, IC 95% (-15.8-8.3). Hemorrhage, 59.2 mL for A, 59.7 for B, p= 0.48, IC 95% (-16.5-15.6). Acetabular index difference: 17.9o for A, 18o for B, p= 0.94. Conclusion: The performance of AM, OR and OI with or without disinsertion of the rectus femoris/sartorium are statistically similar.


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