What question did this study set out to answer?

To describe a novel surgical technique for transtendinous gluteus medius repair performed concurrently with a direct anterior approach for total hip arthroplasty.

April 27, 2023Techniques in Orthopaedics

Anterior Total Hip Arthroplasty With Gluteus Medius Repair: A Novel Technique

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Authors

GSGarrett SchwarzmanAndrews Institute for Orthopaedics & Sports Medicine RVReece VespermanVanderbilt University Medical Center

Discussion

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Implication

Technical report demonstrates concurrent gluteus medius repair during direct anterior total hip arthroplasty, indicating preserved abductor function and reduced postoperative gait abnormalities.

Key Points

To describe a novel surgical technique for transtendinous gluteus medius repair performed concurrently with a direct anterior approach for total hip arthroplasty.
Surgical access is established through the tensor fasciae latae-sartorius interval and anterior capsule to perform standard total hip arthroplasty in a supine patient.
Following joint replacement and capsule closure, the gluteus medius is exposed via an anterolateral approach, the greater trochanter is decorticated, and suture anchors are placed and tied from distal to proximal.
Transtendinous gluteus medius repair is reported to decrease hip pain and restore functional strength to the hip abductor complex.
Postoperative outcomes demonstrate maintained abductor strength and the absence of a Trendelenburg gait at 5 years of follow-up.

Cite This Study

Schwarzman et al. (2023) studied this question.

synapsesocial.com/papers/6a8fd041f97a5f16d9b65614 https://doi.org/10.1097/bto.0000000000000631

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Implication

Technical report demonstrates concurrent gluteus medius repair during direct anterior total hip arthroplasty, indicating preserved abductor function and reduced postoperative gait abnormalities.

Anterior Total Hip Arthroplasty With Gluteus Medius Repair: A Novel Technique

Discussion

Member takes

Implication

Key Points

Cite This Study

Anterior Total Hip Arthroplasty With Gluteus Medius Repair: A Novel Technique

Discussion

Member takes

Implication

Key Points

Cite This Study

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