Botulinum toxin type A injections for the management of muscle tightness following total hip arthroplasty

Description: Development of hip adductor, tensor fascia lata, and rectus femoris muscle contractures following total hip arthroplasty is quite common, with some patients failing to improve despite treatment with a variety of non-operative modalities. The purpose of the present study was to describe the use and patient outcomes of botulinum toxin injections as an adjunctive treatment for muscle tightness following total hip arthroplasty.
Botulinum toxin A injections combined with intensive physical therapy may be considered as a potential treatment modality, especially in difficult cases of muscle tightness that are refractory to standard therapy.
Anil Bhave, Michael G Zywiel, Slif D Ulrich, Mike S McGrath, Thorsten M Seyler, David R Marker, Ronald E Delanois and Michael A Mont Journal of Orthopaedic Surgery and Research 2009, 4:34