生物骨科材料与临床研究2026，Vol.23Issue(2)：45-49,54,6.DOI:10.3969/j.issn.1672-5972.2026.02.008
关节镜下"T"形入路松解治疗臀肌挛缩症的临床研究
Arthroscopic release using T-shaped portals for treatment of gluteal muscle contracture
李炎烨 1严素敏 1卢明峰 1何利雷 1赵立连 1王昌兵 1许挺 1苏颖斌 2朱虹 3李世林3
作者信息
- 1. 广州中医药大学第八临床医学院,广东 佛山,528000||佛山市中医院运动医学科,广东 佛山,528000
- 2. 开平市中心医院急诊科,广东 江门,529000
- 3. 广州中医药大学第八临床医学院,广东 佛山,528000
- 折叠
摘要
Abstract
Objective To investigate the surgical technique and clinical efficacy of arthroscopic release via T-shaped portals for treatment of gluteal muscle contracture(GMC).Methods Clinical data from 60 patients(120 hips)with GMC treated arthroscopically through the posterosuperior trochanteric portal and the posteroinferior trochanteric portal at Foshan Hospital of Traditional Chinese Medicine between December 2021 and June 2024 were retrospectively analyzed.All patients underwent standardized postoperative early functional rehabilitation.Hip function,complications,and subjective patient satisfaction were evaluated at follow-up.Results Patients were followed up for 10 to 40 months,with an average of(22.6±6.4)months.The mean operative time per hip was(21.7±8.8)min,and the mean length of hospital stay was(4.7±1.2)d.No severe complications,such as infections or neurovascular injuries,occurred postoperatively.At final follow-up,the median GMC functional score significantly improved from preoperative 52.0 points(45.0,60.0)to postoperative 88.0 points(81.0,93.0)(P<0.05).Significant improvements were observed in hip adduction and internal rotation,with positive signs such as the Cross-leg test and Ober's test notably decreased.Subjective patient satisfaction reached 95.0％.Conclusion Arthroscopic release via T-shaped portals is associated with stable surgical manipulation,clear visualization,comprehensive contracture release,minimal trauma,and low complication rates.Combined with standardized postoperative rehabilitation,this method significantly improves hip function and quality of life,showing favorable potential for clinical application.关键词
臀肌挛缩症/关节镜/"T"形入路Key words
Gluteal muscle contracture/Arthroscopy/T-shaped portals分类
医药卫生引用本文复制引用
李炎烨,严素敏,卢明峰,何利雷,赵立连,王昌兵,许挺,苏颖斌,朱虹,李世林..关节镜下"T"形入路松解治疗臀肌挛缩症的临床研究[J].生物骨科材料与临床研究,2026,23(2):45-49,54,6.
