Evidence map›Paper›PMID 27900442›Full record

ArticleInternational orthopaedics2017

Arthroscopic revision release of gluteal muscle contracture after failed primary open surgery.

Xintao Zhang, Xiaocheng Jiang, Feilin He, Zuru Liang, Tian You, Dadi Jin, Wentao Zhang

Abstract read
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In one paragraph

Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Gluteal Fibrosis and Its Surgical Treatment.The Journal of bone and joint surgery. American volume · 2019
    Pooled it
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  6. [Clinical Efficacy of Modified Arthroscopic Revision Release of Gluteal Muscle Contracture With Residual Symptoms After Open Surgery].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Xintao ZhangAcademy of Orthopedics, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China.
Xiaocheng JiangDepartment of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen, 510086, China.
Feilin HeDepartment of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen, 510086, China.
Zuru LiangDepartment of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen, 510086, China.
Tian YouDepartment of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen, 510086, China.
Dadi JinAcademy of Orthopedics, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China.
Wentao ZhangDepartment of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen, 510086, China. zhangwt2007@sina.cn.
Peking University Shenzhen Hospital · CNThird Affiliated Hospital of Southern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe treatment of gluteal muscle contracture (GMC) after failed primary open release surgery has rarely been reported in the literature. GMC is a troublesome health problem in some developing countries, and it can result in the limitation of patients' hip function, leading to the development of inferiority complexes. The aim of this study is to evaluate the effect of arthroscopic revision surgery after failed primary open release on patients with GMC.

methodsA total of 278 hips of 140 patients who underwent arthroscopic revision procedures after failed primary open surgeries were gathered from the department files. All patients were treated using a "three-step" arthroscopic release procedure by the same surgeon group.

resultsThe mean follow-up for the 136 patients was 38.9 months. There was significant difference (P < 0.05) between the patients' mean post-revision and pre-operative results on the Harris scoring system. Unreleased contracture tissues that needed revision operations included the gluteus maximus, tensor fasciae latae muscle, and gluteus medius in all patients, and the gluteus minimus and hip capsule in 11.0% and 8.1% of patients, respectively. Short-term complications included subcutaneous bruising of the abdomen in 11 patients, extensive ecchymosis in the lateral thigh in 12 patients, and a transient reduction of muscle strength in all patients. No complications involving postoperative incision infection, nerve and blood vessel damage, or positive Trendelenburg sign occurred. Symptoms of hip snapping and limitation of range of motion (ROM), combined with a positive Trendelenburg sign in two patients after the primary open surgery, were all resolved except for the Trendelenburg sign through arthroscopic revision release. The overall satisfaction rate of the revision operations was 90.4%.

conclusionThe three-step arthroscopic release procedure is effective for failed primary open GMC surgeries as shown by improved post-operative function and patient satisfaction regardless of which primary procedure was performed.

Indexed as

AdultArthroscopyContractureFemaleFollow-Up StudiesHip JointHumansMaleMuscle, SkeletalPatient SatisfactionRange of Motion, ArticularReoperationArthroscopyGluteal muscle contractureReleaseRevision

Identifiers

PMID27900442
OpenAlexW2558009957

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.