| 双"Z"形切断并延长挛缩束带治疗臀肌挛缩症 |
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| 引用本文： | 陈辉,齐新生,李永刚,吴小涛,樊克文.双"Z"形切断并延长挛缩束带治疗臀肌挛缩症[J].中国矫形外科杂志,2002,9(2):146-148. |
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| 作者姓名： | 陈辉 齐新生 李永刚 吴小涛 樊克文 |
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| 作者单位： | 东南大学附属中大医院骨科,南京,210009 |
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| 摘 要： | 目的：介绍一种治疗臀肌挛缩症的新手术方法。并总结手术疗效。方法：采用大粗隆后缘纵形切口，行双“Z”形切断并延长臀大肌挛缩束带，治疗了21例39臀。对严重的3例6臀，同时行臀中肌、臀小肌、梨状肌松解。结果：随访21例，时间6个月-2年，平均时间1.3年，髋关节功能及行走步态恢复满意，结论：本术式既彻底松解了挛缩的臀大肌，又保留了臀大肌的连续性，维持了臀大肌的肌力，操作简便，功能恢复快，疗效满意。
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| 关 键 词： | 臀肌挛缩 肌腱延长术 治疗 |
| 文章编号： | 1005-8478(2002)02-0146-03 |
| 修稿时间： | 2001年6月26日 |
Treatment of Gluteus Muscle Contracture by Double Z-Shaped Cutting and Lengthening Contracture Fascia Lata |
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| CHEN Hui,QI Xin sheng,LI Yong gang,et al..Treatment of Gluteus Muscle Contracture by Double Z-Shaped Cutting and Lengthening Contracture Fascia Lata[J].The Orthopedic Journal of China,2002,9(2):146-148. |
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| Authors: | CHEN Hui QI Xin sheng LI Yong gang |
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| Institution: | CHEN Hui,QI Xin sheng,LI Yong gang,et al. Department of Orthopedics,Zhongda Hospital,Southeast University,Nanjing 210009 |
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| Abstract: | Objective: To introduce a new operative procedure for gluteus muscle contracture, and conclude its operation effects. Method: Of all 39 cases (21 patients) were performed with posterior longitudinal incision of the great trochanter, cutting and double Z shaped lengthening contracture fascia lata. Release gluteus medius muscle?gluteus minimus muscle?piriformis muscle in serious 6 cases (3 patients). Results: 39 cases were followed up for 6 months to 2 years, all cases had satisfactory results. Conclusions: This procedure not only loosen contracture gluteus muscle but also remain continuation and power of contracture gluteus muscle. It is an easy, safe and effective surgical operation. |
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| Keywords: | Gluteus muscle contracture Ligament lengthening |
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