PMID- 28605003
OWN - NLM
STAT- MEDLINE
DCOM- 20190819
LR  - 20190819
IS  - 1724-6067 (Electronic)
IS  - 1120-7000 (Linking)
VI  - 27
IP  - 6
DP  - 2017 Nov 21
TI  - Outcomes of gluteus maximus and tensor fascia lata transfer for primary 
      deficiency of the abductors of the hip.
PG  - 567-572
LID - 10.5301/hipint.5000504 [doi]
AB  - PURPOSE: This study aims to present 3 patients' results after undergoing gluteus 
      maximus and tensor fascia lata (TFL) transfer for chronic abductor tears unable 
      to be repaired primarily. METHODS: 3 patients were identified intraoperatively as 
      having an abductor tear unable to be repaired primarily. The anterior 1/3 of the 
      gluteus maximus and the posterior 1/3 of the TFL were mobilised and transferred 
      to the greater trochanter in order to reproduce the normal force vector of the 
      gluteus medius and minimus. Data was prospectively collected for changes in gait, 
      abductor strength, and the following patient reported outcomes (PROs): modified 
      Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sports 
      Specific Subscale (HOS-SSS), Hip Outcome Score-Activities of Daily Living 
      (HOS-ADL), visual analogue scale (VAS), and satisfaction. RESULTS: The patients 
      were female, 63-75 years old, with BMIs of 23-28. All patients had follow-up at 
      mean 2.1 years (1.25-2.5) with positive Trendelenburg signs preoperatively; 2 
      patients normalised postoperatively. For 2 patients, abductor strength improved 
      by 2 grades postoperatively; the other patient maintained grade four. 2 patients' 
      PROs all improved; the other patient's PROs all improved except mHHS. 
      Postoperative VAS scores were 0, 0, 1. 2 patients reported maximum satisfaction. 
      CONCLUSIONS: This case series suggests that gluteus maximus and TFL transfer for 
      irreparable abductor deficiency may be effective for pain relief, improving 
      abductor strength, and reconstructing abductor function. Although this is a small 
      series, it is to our knowledge the first report of clinical outcomes of this 
      procedure.
FAU - Chandrasekaran, Sivashankar
AU  - Chandrasekaran S
AD  - American Hip Institute, Westmont, IIlinois - USA.
FAU - Darwish, Nader
AU  - Darwish N
AD  - American Hip Institute, Westmont, IIlinois - USA.
FAU - Vemula, S Pavan
AU  - Vemula SP
AD  - American Hip Institute, Westmont, IIlinois - USA.
FAU - Lodhia, Parth
AU  - Lodhia P
AD  - American Hip Institute, Westmont, IIlinois - USA.
FAU - Suarez-Ahedo, Carlos
AU  - Suarez-Ahedo C
AD  - American Hip Institute, Westmont, IIlinois - USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute, Westmont, IIlinois - USA.
AD  - Hinsdale Orthopaedics, Hinsdale, Illinois - USA.
LA  - eng
PT  - Journal Article
DEP - 20170606
PL  - United States
TA  - Hip Int
JT  - Hip international : the journal of clinical and experimental research on hip 
      pathology and therapy
JID - 9200413
MH  - Aged
MH  - Buttocks
MH  - Fascia Lata/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Gait/*physiology
MH  - Hip Joint/physiopathology/*surgery
MH  - Humans
MH  - Joint Instability/physiopathology/*surgery
MH  - Male
MH  - Middle Aged
MH  - Muscle, Skeletal/*surgery
MH  - Orthopedic Procedures/*methods
MH  - Recovery of Function
MH  - *Surgical Flaps
MH  - Thigh
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2017/06/13 06:00
MHDA- 2019/08/20 06:00
CRDT- 2017/06/13 06:00
PHST- 2017/02/15 00:00 [accepted]
PHST- 2017/06/13 06:00 [pubmed]
PHST- 2019/08/20 06:00 [medline]
PHST- 2017/06/13 06:00 [entrez]
AID - 26499B8B-A044-47D2-AD78-69031FDEEC73 [pii]
AID - 10.5301/hipint.5000504 [doi]
PST - ppublish
SO  - Hip Int. 2017 Nov 21;27(6):567-572. doi: 10.5301/hipint.5000504. Epub 2017 Jun 6.