Botulinum toxin-A in postoperative pediatric stiff hips

被引:2
作者
Awaad, Yasser [1 ]
Rizk, Tamer [1 ]
Abak, AlShahid Ahmed [2 ]
Kabiruddin, Kazi [2 ]
Khoshhal, Khalid, I [3 ]
机构
[1] King Fahad Med City, Natl Neurosci Inst, Riyadh, Saudi Arabia
[2] King Fahad Med City, Orthoped Surg Div, Riyadh, Saudi Arabia
[3] Taibah Univ, Orthoped Dept, Almadinah Almunawwarah, Saudi Arabia
关键词
Botulinum toxin; Cerebral palsy; Developmental dysplasia; Hip; Postoperative; Stiff hip;
D O I
10.1016/j.jtumed.2013.06.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: The aim of the study is to show the functional contribution of botulinum toxin-A in the treatment of postoperative pediatric stiff hips. Methods: Four pediatric patients with postoperative stiff hips were included. Three patients with complicated developmental dysplasia of the hip after multiple revision surgeries, and a case of cerebral palsy after hip surgery were given botulinum toxin injections in selected muscles as an adjunctive therapy to the standard orthopedic and rehabilitation management. Results: All patients experienced a significant reduction in pain with a significant improvement in posture, range of motion and mobility. Conclusion: The preliminary results of botulinum toxin-A injection when given to selected muscles seem to be promising in relieving pain and improving range of motion in pediatric patients with postoperative stiff hips. It may be considered as an option in the treatment of difficult cases of postoperative stiff hips refractory to physiotherapy.
引用
收藏
页码:187 / 191
页数:5
相关论文
共 24 条
[1]  
BEYER JE, 1989, PEDIATR CLIN N AM, V36, P837
[2]   Botulinum toxin type a injections for the management of muscle tightness following total hip arthroplasty: A case series [J].
Bhave A. ;
Zywiel M.G. ;
Ulrich S.D. ;
McGrath M.S. ;
Seyler T.M. ;
Marker D.R. ;
Delanois R.E. ;
Mont M.A. .
Journal of Orthopaedic Surgery and Research, 4 (1)
[3]  
Blake B, 2002, PEDIATRICS, V110, pe33, DOI [10.1542/peds.110.3.e33, DOI 10.1542/PEDS.110.3.E33]
[4]   Stiffness after total knee arthroplasty [J].
Bong, MR ;
Di Cesare, PE .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2004, 12 (03) :164-171
[5]  
Chidambaram S, 2005, Med J Malaysia, V60 Suppl C, P91
[6]   Botulinum toxin injection to facilitate rehabilitation of muscle imbalance syndromes in sports medicine [J].
Cullen, D. M. ;
Boyle, J. J. W. ;
Silbert, P. L. ;
Singer, B. J. ;
Singer, K. P. .
DISABILITY AND REHABILITATION, 2007, 29 (23) :1832-1839
[7]  
Deleplanque B, 2002, REV CHIR ORTHOP, V88, P279
[8]   How to Treat the Stiff Total Knee Arthroplasty? A Systematic Review [J].
Fitzsimmons, Sean E. ;
Vazquez, Edward A. ;
Bronson, Michael J. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (04) :1096-1106
[9]  
Flynn John M, 2002, J Am Acad Orthop Surg, V10, P198
[10]  
HUETDELATOUR E, 1979, J NEUROL SCI, V40, P123