School of Medicine.
Busitema University Faculty of Health Science, Mbale.
J Pediatr Orthop. 2021 Mar 1;41(3):e240-e245. doi: 10.1097/BPO.0000000000001735.
Gluteal fibrosis (GF) is a fibrotic infiltration of the gluteal muscles resulting in functionally limiting contracture of the hips and is associated with injections of medications into the gluteal muscles. It has been reported in numerous countries throughout the world. This study assesses the 5-year postoperative range of motion (ROM) and functional outcomes for Ugandan children who underwent surgical release of GF.
A retrospective cohort study of children who underwent release of GF in 2013 at Kumi Hospital in Eastern Uganda. Functional outcomes, hip ROM, and scar satisfaction data were collected for all patients residing within 40 km of the hospital.
One hundred eighteen children ages 4 to 16 at the time of surgery were treated with surgical release of GF in 2013 at Kumi Hospital. Of those 118, 89 were included in this study (79.5%). The remaining 29 were lost to follow-up or lived outside the study's radius. Detailed preoperative ROM and functional data were available for 53 of the 89 patients. In comparison with preoperative assessment, all patients postoperatively reported ability to run normally (P<0.001), sit upright in a chair (P<0.001), sit while eating (P<0.001), and attend the entire day of school (P<0.001). Passive hip flexion (P<0.001) improved when compared with preoperative measurements. In all, 85.2% (n=75) of patients reported satisfaction with scar appearance as "ok," "good," or "excellent" 29.2% (n=26) of patients reported back or hip complaints.
Overall, the 5-year postoperative outcomes suggest that surgical release of GF improves ROM and functional quality of life with sustained effect.
Level IV-case series.
臀肌纤维化（GF）是一种臀肌纤维浸润，导致髋关节功能受限的挛缩，并与臀肌注射药物有关。它已在世界上许多国家报道过。本研究评估了在乌干达东部库米医院接受臀肌松解术的儿童术后 5 年的髋关节活动范围（ROM）和功能结果。
这是一项对 2013 年在乌干达东部库米医院接受臀肌松解术的儿童进行的回顾性队列研究。所有居住在医院 40 公里范围内的患者均收集了功能结果、髋关节 ROM 和疤痕满意度数据。
2013 年，在库米医院接受臀肌松解术的 118 名儿童年龄在 4 至 16 岁之间。在这 118 名儿童中，有 89 名（79.5%）被纳入本研究。其余 29 人因失访或居住在研究范围之外而无法参加。在这 89 名患者中，有 53 名患者提供了详细的术前 ROM 和功能数据。与术前评估相比，所有患者术后均报告能够正常跑步（P<0.001）、在椅子上直坐（P<0.001）、坐着吃饭（P<0.001）和全天上学（P<0.001）。与术前测量相比，髋关节被动屈曲（P<0.001）得到改善。在所有患者中，85.2%（n=75）报告疤痕外观“尚可”、“良好”或“优秀”，29.2%（n=26）报告背部或髋关节有不适。
总体而言，术后 5 年的结果表明，臀肌松解术可改善 ROM 和功能生活质量，并具有持续效果。
IV 级病例系列。
