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    Gluteal tendon repair augmented with a synthetic ligament: Surgical technique and a case series

    Access Status
    Fulltext not available
    Authors
    Bucher, T.
    Darcy, P.
    Ebert, J.
    Smith, Anne
    Janes, G.
    Date
    2014
    Type
    Journal Article
    
    Metadata
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    Citation
    Bucher, T. and Darcy, P. and Ebert, J. and Smith, A. and Janes, G. 2014. Gluteal tendon repair augmented with a synthetic ligament: Surgical technique and a case series. HIP International. 24 (2): pp. 187-193.
    Source Title
    HIP International
    DOI
    10.5301/hipint.5000093
    ISSN
    1120-7000
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/61654
    Collection
    • Curtin Research Publications
    Abstract

    We describe an augmented surgical repair technique for gluteus minimus and medius tears, along with a supportive case series. A consecutive series of 22 patients presenting with clinical and radiological findings consistent with hip abductor tears, who had undergone failed prior conservative treatments, were prospectively recruited. Patients underwent open bursectomy, Y-iliotibial release, debridement of the diseased tendon, decortication of the trochanteric foot-plate and reattachment augmented with a LARS ligament through a trans-osseous tunnel, together with suture anchors. All patients were assessed pre- and postoperatively to 12 months with the Oxford Hip Score (OHS), the Short-Form Health Survey (SF-36) and a Visual Analogue Pain Scale (VAS), while a satisfaction scale was employed at 12 months. A statistically significant improvement (p < 0.05) was observed for all patient reported outcome measures, while all patients were at least 'satisfied' with the procedure at 12 months. One patient reported some lateral hip discomfort at 10 months, and removal of the LARS interference screw provided immediate relief. One patient had a urological catheter-related complication. With no other complications and no clinical failures of the repair, we believe the technique to be safe and reliable, whilst reducing the incidence of re-tears as reported in the existing literature. © 2013 Wichtig Editore.

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