Comparison of efficacy of different surgical incision in treatment of gluteal muscle contracture

Objective To explore the clinical efficacy of different surgical incision methods in the treatment of gluteal muscle contracture.Methods From October 2009to November 2011,149 patients with gluteal muscle contracture were divided into two groups and underwent operations with two different surgical incision methods(group A:straight horizontal incision for 86 cases,group B:curved longitudinal incision for 63cases).During surgery,the patient’s degenerative contracture parts was fully cut off,the contracture tissue was completely released.All patients accepted the same rehabilitation training method after operation.The amount of postoperative drainage,wound healing effect and postoperative hip functions of the two groups were then compared and analyzed.Results All cases were followed up for 12-18 months after operation,and all the wounds were examined healing well without infections for both groups.Twenty-four hours drainage volume in A group was less than in group B(P=0.016),no difference between the two groups at 48 hours drainage(P=0.383).Significant improvements of hip functions were observed after operation for all cases.No significant differences were found in postoperative hip function scores between the two groups(P0.05).Conclusions Surgery is the preferred method of treatment for muscle contracture.Satisfied clinical efficacy can be obtained by both surgical incision methods(straight horizontal incision and curved longitudinal incision)and no significant differences in clinical efficacy were found between the two methods for the treatment of gluteal muscle contracture.