臀肌起点下移治疗臀肌挛缩症

目的 介绍一种新的治疗臀肌挛缩症的手术方法。方法 应用臀肌起点下移方法松解臀肌挛缩，改善髋关节节屈曲障碍及展畸形。结果 治疗２８例患儿，经６个月～１０年随访，畸形全部得到矫正，髋关节功能完全恢复正常或接近正常。结论 本术式与传统的治疗方法比较有以下优点：松解彻底，手术操作便，因手术部位在髂嵴臀肌肌起部，避免了损伤我血管、神经的可能。术后处理简单，本手术方法术后无需任何外固定，４８～７２小时后即可进

Treatment of Gluteus Contracture by Descending the Origin of Gluteus

Objective To describe a new operative procedure for the treatment of gluteus contracture Methods The contracted gluteus was relaxed and the hip flexion disturbance, external rotation as well as abduction of the hip were improved by descending transplantation of the origin of gluteus Results Twenty eight cases of gluteus contracture were treated and followed up for 6 months to 10 years All deformities had been corrected and hip function recovered to normal or nearly normal Conclusion In comparison with the methods of conventional treatment , this procedure has several advantages: relaxation is complete and operation is simple The possibility of injury of blood vessel and nerve in gluteus can be avoided, because the field of operation lie in the origin of iliac crest mucles Post operatively external fixation is not necessary and the patients could practice their hip joint in 48-72 hours Both the post operative care and sufferings of the affected children were alleviated