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| Arthroscopic radiofrequency lysis for treatment of gluteal muscle contracture |
| SUN Shengxuan GE Zhou DONG Qirong ZHOU Haibin |
| Department of Orthopedics, Second Affiliated Hospital of Soochow University, Jiangsu Province, Suzhou 215004, China |
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Abstract Objective To investigate the clinical effect of arthroscopic radiofrequency lysis in the treatment of gluteal muscle contracture. Methods From August 2011 to June 2015, in the Second Affiliated Hospital of Soochow University, the clinical data of 184 patients of gluteal muscle contracture associated with intramuscular injection were retrospectively analyzed, they were divided into the observation group (95 cases) and the control group (89 cases) according to the different operation methods. The observation group was treated with arthroscopic radiofrequency lysis and the control group was treated with conventional open surgery. The average operating time for one side, incision length, the time out of bed and post-operation length of stay were compared between two groups, and the difference of the evaluation of gluteal muscle contracture at the last follow-up was analyzed. Results Ninety-one patients in the observation group were obtained follow-up data with an average of (19.6±3.4) months, while 87 patients in the control group were obtained follow-up data with an average of (17.4±4.1) months. The average operating time for one side, incision length, the time out of bed and post-op length of stay in observation group was shorter than the control group, the differences were statistically significant (P < 0.05). The good to excellent rate of gluteal muscle contracture in the last follow-up in the observation group (92.3%) and the control group (94.3%) were compared, the difference was not statistically significant (P > 0.05). Conclusion Arthroscopic radiofrequency releasing the bands is the first choice for the treatment of gluteal muscle contracture associated with intramuscular injection, which can reduce tissue trauma, the length of incision, result in early time to rehabilitation for good joint function and shorten length of stay in the hospital.
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[1] Valderrama JAF. A cause of limited flexion and adduction of the hip in children [J]. J Bone Joint Surg （Br），1970，52（179）：335.
[2] 马承宣，房论光，余国荣，等.注射性臀大肌挛缩症[J].中华外科杂志，1978，16（6）：345-346.
[3] 王栋，赵波，李锋涛，等.小切口潜行松解术与传统手术治疗臀肌挛缩症的临床效果比较[J].广西医学，2016，38（6）：859-861.
[4] 国永忠.手术治疗注射性臀肌挛缩症的疗效分析[J].系统医学，2017，2（4）：77-79.
[5] 贺西京，李浩鹏，王栋，等.臀肌挛缩症的分级与治疗[J].中华骨科杂志，2003，23（2）：96-99.
[6] 刘玉杰，薛静，周密，等.关节镜下等离子刀微创治疗成年人注射性臀肌挛缩症[J].中华外科杂志，2008，46（13）：970-972.
[7] 尤田，张新涛，张文涛，等.臀肌挛缩症发病机制的研究进展[J].中国矫形外科杂志，2016，24（13）：1201-1203.
[8] Rai S，Jin S，Meng C，et al. Arthroscopic release using F and C method versus conventional open release method in the treatment of gluteal muscle contracture：a comparative study [J]. BMC Musculoskelet Disord，2017，18（1）：113.
[9] Bayati MAA，Kraidy BK. Gluteal muscle fibrosis with abduction contracture of the hip [J]. Int Orthop，2016，40（3）：447-51.
[10] 杨小龙，许峰.臀大肌止点肌腱重建在重度臀肌挛缩症松解术中的意义[J].临床骨科杂志，2017，20（1）：73-75.
[11] 宋世锋，张伟，刘立柱，等.成年人臀肌挛缩症的手术治疗[J].中国矫形外科杂志，2014，22（19）：1797-1799.
[12] 黄春明，黄菁，罗绍坚，等.改良微创术式治疗臀肌筋膜挛缩综合征[J].中国医药导报，2007，4（11X）：22-23.
[13] Liu GH，Cao FQ，Yang SH，et al. Factors influencing the treatment of severe gluteal muscle contracture in children [J]. J Pediatr Orthop B，2011，20（2）：67-69.
[14] 王鼎，杨鹏，张朝鸣，等.关节镜下射频松解与开放手术治疗臀肌挛缩症的效果比较[J].广东医学，2016，37（21）：3206-3208.
[15] 詹远平.关节镜与传统开放手术治疗臀肌挛缩症的比较研究[J].中国矫形外科杂志，2012，20（17）：1564-1567.
[16] 唐翔宇，李春宝，刘玉杰，等.关节镜下大转子周围组织松解术治疗臀肌挛缩症[J].中国骨与关节杂志，2017，6（9）：661-664.
[17] 唐翔宇，刘玉杰，李春宝，等.臀肌挛缩症功能量化评分表的信效度检验[J].中国矫形外科杂志，2017，25（4）：336-339.
[18] 李智勇，路云翔，陈郁鲜，等.臀肌挛缩症镜下分型及疗效分析[J].中国矫形外科杂志，2016，24（5）：427-431.
[19] 许福生，柯荣军，顾永福，等.成人臀肌挛缩症术后负压吸引与普通引流的对比研究[J].中国矫形外科杂志，2016， 24（5）：455-457.
[20] 林共周，周捷，胡跃林，等.臀肌挛缩症（弹响髋）松解手术后并发症及其处理[J].中国运动医学杂志，2000，19（2）：122-123. |
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