PMID- 36206516
OWN - NLM
STAT- MEDLINE
DCOM- 20230119
LR  - 20230907
IS  - 1938-2367 (Electronic)
IS  - 0147-7447 (Linking)
VI  - 46
IP  - 1
DP  - 2023 Jan-Feb
TI  - Outcomes Following Primary Total Hip Arthroplasty With Concomitant Gluteus Medius 
      Repair Using the Direct Anterior Approach.
PG  - 39-46
LID - 10.3928/01477447-20221003-09 [doi]
AB  - Outcomes following total hip arthroplasty (THA) with concomitant gluteus medius 
      (GM) repair using the direct anterior approach (DAA) are scarce. The primary 
      purpose of this study was to report patient-reported outcome measures (PROMs) 
      with 2-year follow-up of patients with osteoarthritis and GM tear who underwent 
      primary THA and GM repair through the DAA. The secondary purpose was to compare 
      these outcomes with a benchmark propensity-matched control group who underwent a 
      DAA THA without GM tear. Patients were eligible if they received a primary THA 
      and GM repair via the DAA between January 2015 and October 2018 and had baseline 
      PROMs with 2-year follow-up. Patients were excluded if they had workers' 
      compensation or were unwilling to participate. PROM subanalysis was performed 
      between patients and a propensity-matched control group with DAA THA without GM 
      tear. Fourteen patients were included in the study, all of whom were female. 
      Significant improvement for all PROMs and high rate of achieving the minimal 
      clinically important difference (MCID) at 2-year follow-up were reported. All 
      patients were propensity-matched to 28 patients for sex, age, and body mass 
      index. Preoperative PROMs between groups were similar, and both groups reported 
      comparable improvement, satisfaction, and MCID achievement at 2-year follow-up. 
      Primary THA with concomitant GM repair using the DAA yielded good functional 
      outcomes and a high rate of MCID achievement at 2-year follow-up. Based on these 
      results, the DAA can be used safely to address symptomatic GM tears during THA. 
      Furthermore, these outcomes were comparable to a propensity-matched control group 
      without GM tear. [Orthopedics. 2023;46(1):39-46.].
FAU - Maldonado, David R
AU  - Maldonado DR
FAU - Glein, Rachel M
AU  - Glein RM
FAU - Annin, Shawn
AU  - Annin S
FAU - Owens, Jade S
AU  - Owens JS
FAU - Jimenez, Andrew E
AU  - Jimenez AE
FAU - Saks, Benjamin R
AU  - Saks BR
FAU - Lall, Ajay C
AU  - Lall AC
FAU - Domb, Benjamin G
AU  - Domb BG
LA  - eng
PT  - Journal Article
DEP - 20221006
PL  - United States
TA  - Orthopedics
JT  - Orthopedics
JID - 7806107
SB  - IM
MH  - Humans
MH  - Female
MH  - Male
MH  - *Arthroplasty, Replacement, Hip/methods
MH  - Treatment Outcome
MH  - Muscle, Skeletal/surgery
MH  - *Orthopedic Procedures
MH  - Rupture/surgery
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Hip Joint/surgery
MH  - Follow-Up Studies
EDAT- 2022/10/08 06:00
MHDA- 2023/01/20 06:00
CRDT- 2022/10/07 16:12
PHST- 2022/10/08 06:00 [pubmed]
PHST- 2023/01/20 06:00 [medline]
PHST- 2022/10/07 16:12 [entrez]
AID - 10.3928/01477447-20221003-09 [doi]
PST - ppublish
SO  - Orthopedics. 2023 Jan-Feb;46(1):39-46. doi: 10.3928/01477447-20221003-09. Epub 
      2022 Oct 6.