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Longterm followup of hip and knee soft tissue release in juvenile chronic arthritis.
Moreno Alvarez, M J; Espada, G; Maldonado-Cocco, J A; Gagliardi, S A.
Afiliação
  • Moreno Alvarez MJ; Rheumatology Section, Instituto Nacional de Rehabilitación, Buenos Aires, Argentina.
J Rheumatol ; 19(10): 1608-10, 1992 Oct.
Article em En | MEDLINE | ID: mdl-1464877
Longterm results of soft tissue release for hip and knee flexion deformity 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.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrite Juvenil / Articulação do Quadril / Articulação do Joelho Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: J Rheumatol Ano de publicação: 1992 Tipo de documento: Article País de afiliação: Argentina País de publicação: Canadá
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrite Juvenil / Articulação do Quadril / Articulação do Joelho Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: J Rheumatol Ano de publicação: 1992 Tipo de documento: Article País de afiliação: Argentina País de publicação: Canadá