For gluteal contracture, surgical release can have a good clinical treatment effect, but if postoperative rehabilitation is not performed, it will easily lead to contracture recurrence and affect the efficacy. Therefore, postoperative functional exercises are used to overcome the popping sign and frog-leg sign, lengthen the remaining contracture tissue, improve the limb inequality barrier, and prevent re-adhesion of the superficial broad fascial tensor fasciae iliotibial bundle break. The specific rehabilitation methods are as follows: 1. 24 to 48 hours after surgery, assist and guide the patient to perform cross-motion of both lower limbs in bed, flex the hip joints, and practice sitting up and down 3 times/day for 30 minutes/time. 2.Forty-eight hours after surgery, assist the patient to get out of bed and walk in a straight line: chest up, head up, shoulders level, both lower limbs crossed. 3 times/day, 30 minutes/time. 3.3-4 days after surgery, gradually increase the hip abduction and knee squat exercises on the basis of one-step walking: feet together, hands flat, heels not off the ground, waist and back straight. 3 times/day, repeat the exercise 200 times.
3 times/day, repeat 200 times. 4. Postoperative day 7
On the 7th day after surgery, on the basis of correcting abnormal gait, perform leg exercises (crossed legs), sitting on a reclining chair with back pressed against the back, one leg over the knee, crossed over the other leg, left and right legs crossed, and active stretching exercises with left and right hip swing. 3 times/day, 30 minutes/time.
3 times/day, 30 minutes/time. 5.On the basis of consolidating the above functional exercise, after discharge, do functional knee exercise exercise, the method: ① Sitting position, both hips and both knees flexed, then both hips separated outward to the maximum, and make the two feet come together in front of the body, hands press the inner side of the knee joint, legs as close together as possible, restore. Repeat
5 times.
Repeat 5 times. ② lying down, one affected limb hip and knee flexion, tilt inward to the maximum position, then tilt outward to the maximum position, restore. Repeat left and right alternately for 5 times. In the standing position, separate the feet front and back, flex the knee in front, straighten the knee behind, press the hands on the front knee, slowly lean the body forward, maintain for 5 seconds and restore.
Hold for 5 seconds and restore. Repeat 5 times alternately left and right, and insist on doing it for 2-6 months after discharge, and take squatting and sitting up as self-care standard. In the exercise, active activities should be the main, step by step, not rough passive activities. With the extension of postoperative time and the deepening of functional exercise, the function of the affected hip will gradually recover, and those who insist on systematic and long-term exercise will recover better.
However, after 6 months, it basically reaches stability, and the degree of improvement is not great, nor will it deteriorate. Therefore, early postoperative functional exercise can maximize the recovery of hip function, reduce complications, and obtain the best therapeutic effect.