We often find that some people on the street are walking with a pronounced ectopia, perhaps they are patients with gluteus contracture. In mild cases, the knees can be arced outward to complete the squat, but in severe cases, the legs need to be separated to stand in order to completely squat, and the heels cannot reach the ground, and the more the legs are separated, the more serious it is; the second common manifestation is walking with pronounced ectopia; the third is the inability to sit with the legs crossed (overlapping knees); the fourth can have long and short legs, and severe patients can have hip depression, waist In addition, patients with gluteal contracture can have a combination of snapping hip and lateral knee pain due to the high tension of the iliotibial bundle over a long period of time. Contractures of the following structures can be seen during surgery: iliac path bundle, gluteus maximus fasciae contracture, gluteus medius contracture, and joint capsule contracture, and the more severe the patient, the more contracture sites and the more symptoms. Surgery to remove the contracture band has been shown to be the simplest, least invasive, fastest recovery, and least complicating modality. Arthroscopic surgery is usually used, with very good results and basically no complications, while some hospitals are not equipped to use incisional surgery. In the middle of the operation, it is not clear that the normal tissues are removed or the abnormal scars are cut less often. If a large incision is used, the final result is a “long centipede” in the buttocks, which is aesthetically very bad, and is very traumatic, with many wound complications. It can be said that the poor results of gluteal contracture are generally due to incomplete excision or cutting off the normal tissues. If all the contracture tissues can be cut off, the result of the surgery will be close to perfect. Only arthroscopic excision of the contracture band can do this permanently and consistently. Arthroscopy is a delicate operation (10 times magnification) with a small incision, usually two 5 mm incisions, which are largely invisible after surgery. When operating with the arthroscope, the anterior can be exposed to the anterior edge of the broad fascia tensor, the middle to the anterior and posterior edges of the gluteus medius, the posterior to the middle muscle belly of the gluteus maximus, the thick ridge of the femoral gluteus maximus, and the deep to the pear-shaped fossa of the femur and the joint capsule, and the exposure is never as thorough as a small incisional cut. Because of the magnification of the arthroscopic field of view and the operation under direct vision, there is no blind cut, and there is generally no case of wrong cut. Another definite proof of the fast recovery from arthroscopic injury is that you can move freely immediately after surgery, without the need for a sling, and you can be discharged from the hospital the next day after surgery. From our practice, there is no gluteus contracture that cannot be treated minimally invasively with arthroscopy, and the complications after arthroscopic treatment of gluteus contracture are 0. However, there is a learning curve for arthroscopic treatment of gluteus contracture, and usually the surgeon must operate more than 20 cases and be a surgeon who often performs arthroscopic surgery on other parts of the body, otherwise, the surgery will fail because the surgeon is not skilled and cannot reveal. The post-operative recovery period is usually 1-2 months, faster in mild cases and slower in severe cases, and you can get out of bed and walk immediately after surgery and take care of yourself. After the surgery, can the patient return to full normal, mild cases can, but medium to severe in leg crossing can not be completely normal in the short term, because leg crossing requires very good gluteal muscle elasticity, and long-term contracture belt binding normal gluteal muscle development is limited, need long-term stretching exercises to gradually improve. In addition, the problem of postoperative popping is that after the gluteus muscle is released, the relatively short gluteus maximus muscle formed over the years can produce popping when flexing and extending the hip due to the obvious improvement of hip inversion, which can generally be improved after the gluteus stretching exercise. Most patients with gluteus maximus contracture do not have any pain 3 months after surgery, very few patients will have pain, whether it is skin pain or pain in the severed contracture band is mainly a problem of tiny neuromas or scar inflammation, neuromas, i.e., where the cut happens to have small nerve endings, it breaks and grows neuromas, pain, this is especially likely to occur when cutting normal tissue (because normal tissue has many nerve endings), purely cutting scars This is especially likely to occur when cutting normal tissue (because normal tissue has many nerve endings), but not when cutting purely the scar (because the tissue itself is diseased and has no nerve endings), so it is important that the surgery only cuts the scar and never the normal muscle. The skin neuroma is skin pain, but the deep part is not painful and can be treated with closure. The other reason for pain is that the release is not yet complete and there is still mechanical obstruction. If the knee squat is normal and the leg is normal, the surgical release is usually complete. The main treatment is to take anti-inflammatory pain medication and physical therapy, and exercise can also help the pain go away. Any exercise that you like is encouraged. Finally, we believe that arthroscopic surgery for gluteus contracture is the gold standard of treatment for this condition. Although slightly more expensive, the advantages are incomparable to other modalities, and “there is no turning back from surgery, and the money can be earned again”.