Combined Transfer of the Gluteus Maximus and Tensor Fasciae Latae for Irreparable Gluteus Medius Tear Using Contemporary Techniques: Short-Term Outcomes
Authors
Maldonado DR, Annin S, Chen JW, Yelton MJ, Shapira J, Rosinsky PJ, Lall AC, Domb BG
DOI: 10.2106/JBJS.OA.20.00085
Background
Irreparable gluteus medius tears can lead to significant hip weakness and pain. Combined transfer of the gluteus maximus and tensor fasciae latae (TFL) muscles is being explored as a solution for these challenging cases.
Methods
This study evaluated short-term outcomes in patients who underwent combined transfer of the gluteus maximus and TFL muscles to treat irreparable gluteus medius tears. The analysis included various patient-reported outcomes, such as pain scores and hip function.
Key Findings
Patients showed significant improvements in hip strength, function, and pain levels. The modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), and pain scores all improved substantially.
Conclusions
The combined transfer of the gluteus maximus and TFL is a promising technique for treating irreparable gluteus medius tears, yielding positive results in terms of strength, pain relief, and overall function.
What Does This Mean for Patients
If you have an irreparable gluteus medius tear, this combined muscle transfer procedure could help restore hip function and reduce pain, offering a good treatment option for improving mobility and quality of life.