title: RESULTS OF ADDUCTORS MUSCLE TENOTOMY IN SPASTIC CEREBRAL PALSY.
abstract: OBJECTIVE
  Radiographic evaluation of the evolution of hips that underwent soft-tissue release.
  
  
  METHODS
  This was a retrospective evaluation on 101 spastic cerebral palsy patients who underwent soft-tissue release between 1991 and 2006. Forty-four patients met the inclusion criteria: 23 boys and 21 girls; 34 diparetic and 10 quadriparetic. Functionally, 29 were non-walkers, five were able to walk at home and 10 were able to walk within the community. Reimers' index (RI) and the acetabular index (AI) were measured on pre and postoperative radiographs, with a minimum follow-up of three years. The mean age at the time of surgery was 6.4 years.
  
  
  RESULTS
  The results were considered good if the RI had reduced, or had increased by less than 10%. This was found in 52% of this study. We observed a clear improvement in IR, along with worse results in patients with more than five years of postoperative follow-up.
  
  
  CONCLUSIONS
  Soft-tissue release should be performed as early as possible, regardless of age, walking condition, clinical type, RI, AI or sex, and as soon as the patient clinically presents less than 30° abduction, because of the benefits relating to walking, prevention and treatment of subluxation, hygiene and pain relief.
authors.affiliation: Resident Physicians in the Department of Orthopedics and Traumatology, Santa Casa School of Medical Sciences, "Femandinho Simonsen" Wing, Santa Casa de Mise-ricórdia de São Paulo.
authors.forename: Luiz Gabriel Betoni
authors.initials: LG
authors.lastname: Guglielmetti
authors.affiliation: Resident Physicians in the Department of Orthopedics and Traumatology, Santa Casa School of Medical Sciences, "Femandinho Simonsen" Wing, Santa Casa de Mise-ricórdia de São Paulo.
authors.forename: Ruy Mesquita Maranhao
authors.initials: RM
authors.lastname: Santos
authors.affiliation: Resident Physicians in the Department of Orthopedics and Traumatology, Santa Casa School of Medical Sciences, "Femandinho Simonsen" Wing, Santa Casa de Mise-ricórdia de São Paulo.
authors.forename: Rodrigo Góes Medea de
authors.initials: RG
authors.lastname: Mendonça
authors.affiliation: Attending Physician in the Department of Orthopedics and Traumatology, Santa Casa School of Medical Sciences, "Fernandinho Simonsen" Wing, Santa Casa de Mise-ricórdia de Säo Paulo.
authors.forename: Helder Henzo
authors.initials: HH
authors.lastname: Yamada
authors.affiliation: Attending Physician and Head of the Neuromuscular Diseases Group, Department of Orthopedics and Traumatology, Santa Casa School of Medical Sciences, "Fernandinho Simonsen" Wing, Santa Casa de Misericordia de Säo Paulo.
authors.forename: Rodrigo Montezuma César de
authors.initials: RM
authors.lastname: Assumpçao
authors.affiliation: Attending Physician and Head of Clinical Medicine, Department of Orthopedics and Traumatology, Santa Casa School of Medical Sciences, "Fernandinho Simonsen" Wing, Santa Casa de Misericordia de Säo Paulo.
authors.forename: Patricia Maria de Moraes Barros
authors.initials: PM
authors.lastname: Fucs
keywords: Cerebral palsy; Hip dislocation