CLINICAL ANALYSIS OF SINGLE SIDE GLUTEUS CONTRACTURE ACCOMPANIED WITH THE LIMBS LENGTH DISCREPANCY

Objective To evaluate the diagnosis characteristics and clinical therapeutic efficacy of gluteus contracture accompanied with the limbs length discrepancy.Methods Contracture zone amputation was adopted in 13 cases with gluteus contracture.After operation,both lower extremities were banded with wide bandage at the position of combined knees.While turned back to sickroom,a soft pillow was placed under knees to stoop coxaes at 45°～60° and the knees were kept between curved at 30°,2～3days after taking out stitches.The patients exercised with squatting and overlapping two legs,maintaining2～3months.Results 13 cases received follow-up,11 cases fully recovered:besides normal walking,pelvic obliquity disappeared.Taking a tum for the better in 2cases:normal walking,pelvic obliquity lightened,the distance of both lower extrmities between umbilicus and ankle inequal,with difference of 1cm between left and right.Conclusion Gluteus medius and gluteus minimus could result in coxae abduction malformation and alteration of weight line,leading to pelvic obliquity.Contracture zone amputation was adopted in 13 cases with gluteus contracture,the operation procedure possessed some merits usch as convenientce,small scope,little boeeding and good effect.