| Objective To investigate the effect of gluteal muscle contracture released under arthroscopy guidance. Methods From May 2015 to May 2017, there are 19 patients with gluteus contracture operated under arthroscopy guidance, which were followed up completely and were chose to be summarized and analyzed. Surgery was performed on either side of the hip. There are two incisions that both are about 0.8 cm in length. One incision was made at the posterior margin of the largest bulge of the femur. Another one is 5 cm far from the first. We used arthroscopy blunt needle to puncture along the shallow of fascia. Then we separated subcutaneous tissue, got a lacuna for working, inserted the arthroscopy and instruments, released the tissue by low temperature plasma under arthroscopy monitoring. At first we cut the tissue from posterior of great trochanter to front, cut iliac muscle bundle ahead, The second step is releasing the upper half of glutes ending. Then we bent and stretched hip to check the result of release. If it is not satisfied, we should do the third step to release. Then we buttock big muscle fibers proximally, find the muscle fibers in the scar contracture, cut off, until the positive signs disappeared. Result All incisions are healed with Ⅰlevel without complications such as hematoma, nerve damage. After postoperative follow-up of 3-12 months, the comprehensive evaluation criteria of postoperative function of gluteal muscle contracture, which was proposed by Liu Guohui, were evaluated, 15 cases are excellent, 4 cases are good. There is no bad case. We investigated the satisfaction rate on three months after operation. 2 patients were very satisfied, 15 patients were satisfied, 2 patients were just so so, no patient was not satisfied. Conclusion Releasing gluteal muscle contracture under the guidance of arthroscopy is minimally invasive, rapid recovery and resulting satisfaction, which is an effective way to treat gluteal muscle contracture. |
