Abstract
Aim of the study The aims of this study were to analyze the results of adductor ténotomies in children with cerebral palsy, to assess their radiographic outcome and to determine whether age at time of surgery, the addition of an anterior neurectomy, and the preoperative radiographic migration percentage were reliable predictors of outcome. Material This study reviewed 59 hips in 31 children with cerebral palsy who had undergone an adductor tenotomy. Radiologic analysis used the Reimers migration percentage (MP). The hips were split into three groups according to the preoperative MP: less than 20%, between 20 and 40%, and more than 40%. The results were considered as good when radiographs at the longest follow-up showed a decrease of > 10% of the MP, as bad when they showed an increase of > 10%, and as stable when the MP had varied less than 10%. Results The mean age at the time of surgery was 6 years and 1 month (range: 2.5–13 years). Group A (14 hips) consisted of hips with a preoperative MP of less than 20 %, group B (25 hips) consisted of hips with a preoperative MP between 20 and 40%, and group C (20 hips) consisted of hips with a preoperative MP of more than 40%. The adductor longus was always completely transected, by open procedure in 56 cases and percutaneously in three. A complete myotomy of the gracilis was performed in 36 cases and a partial anterior obturator neurectomy in 23 cases. The mean review period was seven years and two months (2.5–20 years). At latest review, in group A, 13 results were good and one was poor. In group B, 12 results were stable, seven were good and six were poor. In group C, seven results were stable and 13 were poor. Discussion and conclusion The preoperative migration percentage was the only predictor of outcome in our study. The age at the time of surgery had no constant significant effect on the outcome, nor had the addition of an anterior neurectomy.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
