CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(02): 206-209
DOI: 10.1016/j.rbo.2017.07.001
Case Report | Relato de Caso
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

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

Article in several languages: português | English
Leonardo Morais Paiva
1  Serviço de Quadril, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
2  Hospital de Base do Distrito Federal, Brasília, DF, Brasil
,
Karina Maria Alécio de Oliveira
1  Serviço de Quadril, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
2  Hospital de Base do Distrito Federal, Brasília, DF, Brasil
,
Diogo Ranier de Macedo Souto
1  Serviço de Quadril, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
2  Hospital de Base do Distrito Federal, Brasília, DF, Brasil
,
Sílvio Leite de Macedo Neto
1  Serviço de Quadril, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
2  Hospital de Base do Distrito Federal, Brasília, DF, Brasil
,
Nicolay Jorge Bonvine Kircov
1  Serviço de Quadril, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
2  Hospital de Base do Distrito Federal, Brasília, DF, Brasil
,
Anderson Freitas
1  Serviço de Quadril, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
2  Hospital de Base do Distrito Federal, Brasília, DF, Brasil
› Author Affiliations
Further Information

Publication History

15 May 2017

13 July 2017

Publication Date:
10 May 2019 (online)

Abstract

The authors report a single case of complex primary hip total arthroplasty in a 34-year-old 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.