Treatment of deformities secondary to gluteal muscles and fascia contracture with Z-plasty

VernacularTitle:Z成形术治疗重度臀肌筋膜挛缩症及其所致腰臀部畸形
Author: Changyu SHAO ; Yongjun JIANG ; Zhipei LIANG ; Qun QIAO ; Youbin WANG
Publication Type:Journal Article
Keywords: Contracture of gluteal muscles and fascia; Deformities; Z-plasty
From: Chinese Journal of Medical Aesthetics and Cosmetology 2009;15(6):378-380
CountryChina
Language:Chinese
Abstract: Objective To describe an appreciate operation method in the treatment of deformi-ties secondary to gluteal muscles and fascia contracture. Methods 25 cases of serious secondary de-formity of gluteal muscles and fascia contracture were treated by Z-plasty. The contracted fascia and scar were loosed and the skin around the wound was rearranged. Results The following-up time was from 6 months to 3 years with an average time of 1.6 years. All cases rehabilitated to normal or nearly normal in gait. Aesthetic results were also satisfactory. No recurrence was observed. Conclusion Re-arranging the contracted fascia with Z-plasty can extend the fascia and improve the movement of the hip joint. Besides, Z-plasty treatment of skin around the scar is benefit for the aesthetic result of the deformities, Z-plasty of contracted fascia and skin is an appreciate operation method in the treatment of deformities secondary to gluteal muscles and fascia contracture.