Wang Cheng-xiang, Gong Yu-suo, Li Sheng-hua, Liu Hai-ping, Chai Xi-ping
Department of Orthopaedics and Traumatology, Traditional Chinese Medical College of Gansu, Lanzhou 730050, Gansu, China.
Zhongguo Gu Shang. 2011 Jul;24(7):594-6.
To investigate clinical efficacy and significance of gluteal muscle contracture release for the treatment of gluteal muscle contracture induced knee osteoarthritis.
From January 2008 to June 2010,52 patients with gluteal muscle contracture induced knee osteoarthritis were reviewed. Among the patients,15 patients were male and 37 patients were female, ranging in age from 15 to 45 years, with an average of 35 years. Eighteen patients had left knee osteoarthritis, 30 patients had right osteoarthritis, and 4 patients had double knee osteoarthritis. All the patients were treated with gluteal muscle contracture release. Lysholm knee score was used to evaluate therapeutic effects before and after operation.
All the patients were followed up,and the duration ranged from 12 to 37 years,with a mean of 15 months. The Lysholm knee score improved from preoperative (68.12 +/- 0.78) points to postoperative (91.23 +/- 0.47) points at the last follow-up, the difference had statistical difference (t=31.269, P<0.01).
Gluteal muscle contracture release is effective to relieve symptoms of gluteal muscles contracture and knee osteoarthritis. The patients with gluteal muscle contracture should be treated early so as to prevent effects of gluteal muscle contracture on knee joint, slow down degeneration of knee joint at early stage, and prevent occurrence of knee osteoarthritis.
探讨臀肌挛缩松解术治疗臀肌挛缩所致膝关节骨关节炎的临床疗效及意义。
回顾性分析2008年1月至2010年6月收治的52例臀肌挛缩所致膝关节骨关节炎患者的临床资料。其中男15例，女37例；年龄15～45岁，平均35岁。左膝骨关节炎18例，右膝骨关节炎30例，双膝骨关节炎4例。所有患者均行臀肌挛缩松解术。采用Lysholm膝关节评分评价手术前后疗效。
所有患者均获随访，随访时间12～37个月，平均15个月。末次随访时Lysholm膝关节评分由术前的（68.12±0.78）分提高至术后的（91.23±0.47）分，差异有统计学意义（t=31.269，P<0.01）。
臀肌挛缩松解术能有效缓解臀肌挛缩及膝关节骨关节炎症状。臀肌挛缩患者应早期治疗，以防止臀肌挛缩对膝关节的影响，早期延缓膝关节退变，预防膝关节骨关节炎的发生。
