【发表时间】2017-06-26 【点击次数】2061

Ye Bin  Cheng Youchun.

 Department of Orthopaedics,Bengbu Second Hospital,Anhui in China  233000。

 

Objective ： To explain pathogeny and therapeutic principle of gluteal soft tissue contracture (GSTC)with reference to the etiological analyse of GSTC.

Methods：   312 patients presenting the typical symptom and sign of GSTC with a particular reference to the etiology and pathology were compared the outcome of various surgical treatment.

Results：Female morbidity is fewer thanmale,morbidity of younger children is fewer than older one.Nature of all male patients are introversion and flabby or gynecogenic inclination.42 patients have obvious consanguinity. Outcome was the litter wound of surgical treatment and more effective dirigation the better.

Conclusions：Pathogenic reason of GSTC is excessively fierce inclination of inflammatory reaction and introversion flabby quiet nature.Pathogenic condition is wound .Chemical injury and infection.Therapeutic principle is close combine srugical treatment with dirigation.

[key words]  soft tissue contracture   etiology   surgical  treament    dirigation

 

 

2、The Relationship Between the Physical Sign of Gluteal  Muscle  Contracture  and Independently Dissection and Pathologic Change

Ye bin  Sun Hongwei  Chen Youyan  et al

Department of Orthopaedics,Yangpu geriatric Hospital,Shanghai in China  (200090)

 

Objective: To seek the foundations in Dissection and pathologic change of GMC physical sign formation  ,and then to supply a basis for the choice of treatment.

Method：The influnce of GMC lesion range on the physical sign in 60 case with 120 sides were analysised.And from the viewpoint of dissection the therapeutic results were analysised .

Results: Each tissue of contracture in GMC exercise a decisive influence on the resistance produced in the movement of greater trochanter. Based on the lesion range of contracture, GMC can be divided into A,B,C three types (seven subgroup).

Conclusion:The core of GMC physical sign formation is that the tissues of contracture obstruct greater trochanter  in moving outside and circumvolving  fore and back.

Key words：  Clunis    Conttacture    Physical sign    Pathology

 

 

3、Microtrauma in the Treatment of Gluteal  Muscle  Contracture

Ye bin  Sun Hongwei  Chen Youyan  et al

Department of Orthopaedics,Yangpu geriatric Hospital,Shanghai in China  (200090)

 

Objective:To find a eutherapeutic ，less traumatic protocol  with  a quick recovery for gluteal muscle contracture (GMC).

Method:Based on physical sign and pathological change,GMC is divided into A,B,C three types.Twenty patients with 40 sides who were diagnosed as having GMC were treated with Ye' s detacher with microtrauma . The therapeutic effectiveness comparison was made between microtrauma treatment and the little wound treatment via posterior greater trochanter by the same standard of  therapeutic evaluation.

Results: The score of therapeutic effectiveness of microtrauma treatment averaged 9 and 10 points  at 1 and 3 weeks ,respectively. And after four days, the patients leave hospital with recovery. The score of therapeutic effectiveness of  little wound treatment via posterior greater torchanter averaged 6.2 and 9.6 points at 1 and 3 weeks respectively. And the patients leave hospital after 12 to 14 days.

Conclusion: The microtrauma treatment of GMC is a feasible ，safe，less traumatic and eutherapeutic protocol with a quick recovery and little pain and easy to manipulate.

 

Ye bin  Sun Hongwei  Lu Weibo  Chen Xiaodong  Chen Youyan

Department of Orthopaedics,Yangpu geriatric Hospital,Shanghai in China  (200090)

 

Objective: to test the early conservative treatment and postoperative accessory treatment in GMC.

Method: The data of the rehabilitation of 85 GMC patients were reviewed.

Results: There were 75 GMC patients who received the systemic rehabilitation. In conservative treatment  three case recovered and two case failed and then received operation.  After systemic rehabilitation, the founction of hip joint, gait and the form of body of  the 72 patients who received operative treatment attained the satisfied result. And no case relapse. Ten case who didn' t perform the systemic rehabilitation well still had physical sign with different degree. After a second operation and systemic rehabilitation , the physical sign disappeared completely.

Conclusion: The systemic rehabilitation is an indispensable component to treat GMC.