Outcome of adductor tenotomy in children with spastic cerebral palsy at Soba University Hospital

Abstract

Introduction: Cerebral palsy (CP) is a common neurodevelopmental condition that causes physical
disability during childhood. Its spastic type accounts for 70% of cases. Adductor tenotomy, as one of the
useful surgical procedures that solves many of the problems that interfere with daily activities of the patient
and with personal hygiene. Moreover, the procedure reduces the tendency of lateral displacement of the
femoral head and prevents subluxation and painful dislocation.
Objective: to assess the outcome of adductor tenotomy in children with spastic CP who presented to Soba
University Hospital (SUH) with hip adduction deformity from 2003 to 2013.
Methods: Records of all patients of CP at SUH were reviewed, for demographic characteristics, pattern
of presentation, and degree of disability. Preoperative and postoperative physical and functional status was
reviewed.
Results: Forty-two (out of 224) patients with CP underwent surgery and were included in this study. Their
age group ranged between 21 months and 15 years (mean age 7.73 years). Females constituted 54.8%, 23
of the 42 patients. Twenty-eight patients (66.7 %) were diaplegic. All the 42 patients underwent a standard
adductor tenotomy. Four factors were found to be statistically significant in improving the postoperative
physical status after the surgery; these were type of spastic CP, the preoperative physical status, Reimers
Index and the mental status.