Short- to mid-term outcomes of gluteus maximus transfer for irreparable gluteus medius tears
Authors
Quesada-Jimenez R, Walsh EG, Rana K, Kahana-Rojkind AH, Domb BG.
Background
Some patients have severe tears of a key hip muscle (gluteus medius) that cannot be repaired or have already failed previous surgery. In these cases, surgeons may transfer another tendon to help restore hip strength and walking ability.
Methods
This study looked at patients who had gluteus maximus tendon transfer surgery and followed them for at least 2 years, with some followed up to 5 years. Researchers measured pain, function, walking ability, and patient satisfaction.
Key Findings
- Most patients improved significantly after surgery and were satisfied with their results.
- About 80% of patients regained normal walking without a limp. A small number of patients still had some weakness or limping.
- Improvements were maintained over time.
Conclusion
Gluteus maximus transfer can help patients with severe, irreparable hip muscle tears improve pain, strength, and walking ability.
What Does This Mean For Patients
If your hip muscle tear cannot be repaired or a previous repair has failed, this surgery may still help improve your walking and reduce pain. Most patients do well, although some may still have mild weakness or a limp.