Gluteal muscle contracture release combined with patellar reticulum tension reconstruction for the treatment of springing hip combined with anterior knee pain
JIA Chuan, XU Jian-da, XIE Zi-kang, QU Yu-xing
Chinese Journal of Clinical Anatomy ›› 2018, Vol. 36 ›› Issue (6) : 683-689.
Gluteal muscle contracture release combined with patellar reticulum tension reconstruction for the treatment of springing hip combined with anterior knee pain
Objective To investigate the necessity of restoring the normal trajectory of the humerus in the treatment of gluteal muscle spasm and anterior knee pain. Methods Thirty patients with orthopedic gluteal muscle contracture and anterior knee pain were randomly divided into a control group (n=16) (arthroscopic arthritis gluteal muscle contraction release) and an experimental group (n=14) (arthroscopic gluteal muscle contracture release combined with tightening of the medial patellofemoral reticulum and release of the lateral patellofemoral reticulum). Then the patients with different surgical methods were observed for postoperative recovery, and the WOMAC score, Kujala score, iliac bone harmony angle, lateral humeral angle and complications were compared before and after surgery. Results All the 30 patients in the 2 groups were followed up. The average follow-up period was 14.3 months. All incisions healed well. There were no significant difference between the control group and the experimental group in terms of the WOMAC score, Kujala score, iliac bone harmony angle, and lateral humeral angle (P>0.25). The WOMAC scores and tibia harmony angles of the patients in the two groups were significantly lower in the first month, third month, and sixth month after the operation (P<0.05). The Kujala score and lateral tibia angle were significantly higher than before (P<0.05). Compared with the control group, the WOMAC score, Kujala score, iliac bone harmony angle and lateral tibia angle of the experimental group were better than those of the control group in the first month, third month, and sixth month after the operation (P<0.05). Conclusions Arthroscopic gluteal muscle contraction released combined with patellofemoral reticulum can better relieve the symptoms of anterior knee pain caused by long-term gluteal muscle contracture and reduce the lateral displacement of the tibia.
Gluteal muscle contracture / Anterior knee pain / Patella dislocation / Arthroscopy / Humerus support band
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