Tenotomy of the Gluteus Maximus in Total Hip Arthroplasty with Prevention of Sciatic Nerve Injury

Abstract The authors report a single case of complex primary hip total arthroplasty in a 34-yearold female patient with a 5.5 cm lower limb dysmetria, in whom a maximum gluteus tenotomy was performed in order to prevent sciatic nerve injury. The surgery was performed under electroneurophysiological monitoring of the fibular and tibial branches of the sciatic nerve, collecting pretenotomy, posttenotomy, and postarthroplasty reduction data. The findings demonstrate that the maximum gluteus tenotomy improved the motor response of the fibular component of the sciatic nerve.

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Bibliographic Details
Main Authors: Paiva,Leonardo Morais, Oliveira,Karina Maria Alécio de, Souto,Diogo Ranier de Macedo, Macedo Neto,Sílvio Leite de, Kircov,Nicolay Jorge Bonvine, Freitas,Anderson
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2019
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200206
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