Chronic hip abductor deficiency repair : a comparison of direct repair versus muscle transfer
Kurinčič, Nejc ; Trebše, Rihard
Introduction/objectives: Chronic abductor muscles deficiency of the hip may cause severe lateral trochanteric pain, weakness and limp requiring walking supports. Only a few reports on the results of ...abductor tendon complex reinsertion are available in the literature. Promising results following reconstruction with local muscle transfer are reported. This study reports the clinical outcome of hip abductor deficiency repair using transoseus sutures on 3 patients and local muscle transfer on 11 patients. Methods: A retrospective analysis was conducted of 14 consecutive patients with a severe limp because of abductor deficiency confirmed on MRI scans. The mean age of the patients (4 men and 10 women) was 68.5 years (33 to 84), with a mean follow-up of 14 months (1 to 34). Results: All three patients treated with direct abductor tendon complex reinsertion using transoseus sutures did not improve with surgery. On the other hand, 11 patients treated with gluteus maximus and/or tensor fascia lata muscle transfer achieved good results. On average they had less pain, reduced limp and reduced use of walking supports. Final Harris hip score was good in five patients, fair in three and poor in none. 7 patients are very satisfied with the procedure, one satisfied, none dissatisfied. For 3 patients the follow-up is too short for final evaluation. Conclusions: Local muscle transfer seems a promising solution for hip abductor deficiency, which remains difficult, and often neglected orthopaedic problem. In our experience, its results are superior compared to reinsertion alone.
Vir: Abstracts (Vol. 26, Suppl. 2, Sept. 2016, s 49)
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vir: Abstracts (Vol. 26, Suppl. 2, Sept. 2016, s 49)
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