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Table 5 Recommendation of treatment strategy

From: Classification of gluteal muscle contracture in children and outcome of different treatments

Levels of Patients Recommendation of treatment strategy
Level I NOM as first choice, operation as recruitment treatment. Interogluteal incision or use arthroscopic technique is recommended.
Level II Operative management as first choice, NOM as choice for recruitment treatment for waiting for operation or after operation. Surgeons could adopt interogluteal incision or use arthroscopic technique depending on the condition of patients.
Level III Operative management as first choice, NOM as choice for recruitment treatment for waiting for operation or after operation. Operation under direct-viewing with conventional incision is commended, in order for complete releasing.