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Gluteus maximus contracture

Y S Shen

    Clinical Orthopaedics and Related Research
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Hip abduction contracture, or frog-leg deformity, can be effectively treated by surgically releasing the gluteus maximus muscle. This procedure restores hip function, allowing patients to squat normally with minimal complications.

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    Area of Science:

    • Orthopedic Surgery
    • Pediatric Orthopedics
    • Reconstructive Surgery

    Background:

    • Hip abduction contracture, often termed frog-leg deformity, results from gluteus maximus muscle contracture.
    • This condition limits hip mobility, impacting daily activities like squatting.

    Purpose of the Study:

    • To evaluate the efficacy of a surgical technique for releasing hip abduction contracture.
    • To assess the functional outcomes and complication rates associated with the procedure.

    Main Methods:

    • Surgical release involves complete detachment of fibrous portions of the gluteus maximus from the greater trochanter to the ischial tuberosity.
    • Sciatic nerve injury is prevented using a periosteal elevator during muscle division.
    • A small incision technique is employed to minimize skin keloid formation.

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    Main Results:

    • All patients demonstrated marked improvement in hip function post-surgery.
    • The surgical intervention effectively released the contracture, enabling normal squatting.
    • Complications were virtually nonexistent, with no reported sciatic nerve injuries.

    Conclusions:

    • Surgical release of the gluteus maximus is a safe and effective treatment for hip abduction contracture.
    • The procedure restores hip mobility and function with a low complication rate.
    • Minimizing incision size is crucial for preventing skin keloid formation.