Combined Transfer of the Gluteus Maximus and Tensor Fasciae Latae for Irreparable Gluteus Medius Tear Using Contemporary Techniques: Short-Term Outcomes

Overview

Journal JB JS Open Access

Date 2020 Dec 30

PMID 33376925

Citations 3

Authors

David R Maldonado

Shawn Annin

Jeffrey W Chen

Mitchell J Yelton

Jacob Shapira

Philip J Rosinsky

Ajay C Lall

Benjamin G Domb

Affiliations

Soon will be listed here.

Abstract

Methods: Data for patients who underwent hip preservation and hip arthroplasty between July 2011 and November 2017 were prospectively collected and retrospectively reviewed. Patients were considered for this study if they had undergone combined transfer of the gluteus maximus and TFL for irreparable gluteus medius tears. Inclusion criteria consisted of patients who had a minimum 1-year follow-up for the modified Harris hip score, Non-Arthritic Hip Score, Hip Outcome Score Sports Specific Subscale, visual analog scale score for pain, and patient satisfaction. The exclusion criterion was Workers' Compensation status.

Results: The study included 18 hips in 18 patients who underwent combined transfer of the gluteus maximus and TFL, with a mean follow-up of 39.75 months (range, 12.04 to 93.88 months). The average age was 68.48 ± 11.05 years, the average body mass index was 29.54 ± 6.23 kg/m, and 13 patients were female. Abductor strength improved in 7 of 17 patients, with abduction data unavailable for 1 patient. Significant improvements were observed in modified Harris hip score from 49.73 ± 16.85 to 74.94 ± 17.91 (p < 0.001), Non-Arthritic Hip Score from 55.02 ± 22.53 to 72.78 ± 19.17 (p = 0.032), and visual analog scale for pain from 5.42 ± 3.42 to 1.57 ± 1.68 (p = 0.0004). No secondary surgeries were reported.

Conclusions: Significant improvements in patient-reported outcomes were observed in patients who underwent combined transfer of the gluteus maximus and TFL for the treatment of irreparable full-thickness gluteus medius tears at short-term follow-up.

Level Of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.

Citing Articles

Surgical Treatment and Outcomes for Gluteal Tendon Tears.

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Short-term outcomes following open gluteus maximus transfer for the management of hip abductor tears.

Lemme N, Dworkin M, Morrissey P, Testa E, Kwan D, Roussel L J Hip Preserv Surg. 2024; 10(3-4):143-148.

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Gluteus Maximus Transfer for Hip Abductor Deficiency.

Inclan P, Schwabe M, Song B, Kuhn A, Layon D, Clohisy J Arthrosc Tech. 2023; 12(5):e671-e676.

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