双“Z”形切断并延长挛缩束带治疗臀肌挛缩症

Treatment of Gluteus Muscle Contracture by Double Z-Shaped Cutting and Lengthening Contracture Fascia Lata

目的 :介绍一种治疗臀肌挛缩症的新手术方法 ,并总结手术疗效。方法 :采用大粗隆后缘纵形切口 ,行双“Z”形切断并延长臀大肌挛缩束带 ,治疗了 2 1例 39臀。对严重的 3例 6臀 ,同时行臀中肌、臀小肌、梨状肌松解。结果 :随访 2 1例 ,时间 6个月～ 2年 ,平均时间 1.3年。髋关节功能及行走步态恢复满意。结论 :本术式既彻底松解了挛缩的臀大肌 ,又保留了臀大肌的连续性 ,维持了臀大肌的肌力 ,操作简便 ,功能恢复快 。

Objective: To introduce a new operative procedure for gluteus muscle contracture, and conclude its operation effects. Method: Of all 39 cases (21 patients) were performed with posterior longitudinal incision of the great trochanter, cutting and double Z shaped lengthening contracture fascia lata. Release gluteus medius muscle?gluteus minimus muscle?piriformis muscle in serious 6 cases (3 patients). Results: 39 cases were followed up for 6 months to 2 years, all cases had satisfactory results. Conclusions: This procedure not only loosen contracture gluteus muscle but also remain continuation and power of contracture gluteus muscle. It is an easy, safe and effective surgical operation.