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Results of bipolar release in the treatment of congenital muscular torticolis in patients older than 10 years of age.
MedLine Citation:
PMID:  21629376     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Neglected congenital muscular torticollis (CMT) is a common presentation in developing countries like India, with the primary concern of the patients being cosmesis. Little has been published regarding the management of such patients. The aim of our study was to evaluate the results of bipolar release in this age group.
METHODS: Over a period of five years, 14 patients older than ten years (range 10-19 years) with neglected CMT were operated on with bipolar release of sternocleidomastoid muscle and z-plasty lengthening of the sternal end. Postoperative protocol included head halter traction for three weeks followed by intensive physical therapy. Results were evaluated using a modified version of the system of Lee et al.
RESULTS: At an average follow-up of around three years (range 1-5 years), excellent results were noted in three patients, good in seven, fair in two, and poor in two. Postoperative improvements in range of motion, head tilt, chin deviation and cosmesis were noted in all patients, and these improvements were statistically significant. No surgery-related complications or recurrences requiring surgery occurred in any of the patients.
CONCLUSIONS: This study concluded that patients with CMT presenting after ten years of age definitely benefit from surgery, and that bipolar release is an adequate and complication-free method for such patients.
Authors:
Pebam Sudesh; Kamal Bali; Aditya Krishna Mootha; Mandeep Singh Dhillon
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Publication Detail:
Type:  Journal Article     Date:  2010-03-26
Journal Detail:
Title:  Journal of children's orthopaedics     Volume:  4     ISSN:  1863-2548     ISO Abbreviation:  J Child Orthop     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2011-06-01     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101313582     Medline TA:  J Child Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  227-32     Citation Subset:  -    
Affiliation:
Department of Orthopedic Surgery, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, 160 012 India.
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