Abductor mechanism tears in primary total hip arthroplasty

Hendry, Jane; Biant, Leela; Breusch, Steffen

doi:10.1007/s00402-012-1573-9

Cited by 40 publications

(37 citation statements)

References 11 publications

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“…tendons in 20% of the patients 11 . Hendry et al assessed 835 patients undergoing total hip replacement and found that 25% had a gluteal tendon tear, with the greatest prevalence in elderly women 20 .…”

mentioning

confidence: 99%

Surgical Treatment of Hip Abductor Tendon Tears

Davies

Stiehl

Davies³

et al. 2013

The Journal of Bone and Joint Surgery-American Volume

107

129

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mentioning

confidence: 99%

Surgical Treatment of Hip Abductor Tendon Tears

Davies

Stiehl

Davies³

et al. 2013

The Journal of Bone and Joint Surgery-American Volume

107

129

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“…In the current literature, the incidence of idiopathic abductor tears in hips underoing THA using a lateral (Hardinge) approach ranges between 20% and 25.4% while the incidence using a posterolateral approach was found to be 1.6% [2][3][4][5][6]. In our study, the incidence using a posterolateral approach was 0.68%.…”

Section: Discussionmentioning

confidence: 56%

“…In our study, the incidence using a posterolateral approach was 0.68%. Hendry et al postulated that when using a posterior approach, a vast majority of low-grade tears are not repaired because they are not identified [6]. Although the single surgeon in this study carefully examined the anterior 2/3 rd of each gluteus medius tendon, the comparatively low incidence supports the hypothesis that the posterolateral approach may limit the evaluation of abductor pathology and under report its true incidence.…”

Section: Discussionmentioning

confidence: 60%

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Concomitant Repair of Idiopathic Abductor Tears During Primary Total Hip Arthroplasty: Technique, Review and Outcomes

Mattingly¹

2014

Orthop Muscul Syst

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This is a retrospective, consecutive, single-surgeon case series which examines the clinical and radiographic outcomes of 19 hips with the incidental finding of hip abductor tears during primary Total Hip Artroplasty (THA). The incidence of abductor tears was 0.68% during our study period from 1994 -2008. We found that positive preoperative Trendelenburg gait was a positive predictor of the presence of an abductor tear. Seven out of 19 patients had an intraoperative change in surgical approach due to the extent of the abductor tear. Bilaterality and the presence of sclerosis preoperatively were significantly associated with a longer limp period postoperatively. In conclusion, idiopathic abductor tears are rare during primary THA, however there is a high likelihood of changing the intraoperative approach if they are encountered.

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“…Abductor weakness is a particular concern after DLA THA, with a reported incidence of 4%–20% 49. It is likely caused by preoperative abductor degeneration, seen in 20.0%–25.4% of THA patients, and failed tenotomy repair 575859. DAA is presumably more “muscle friendly,” thanks to the utilization of an intermuscular interval.…”

Section: Discussionmentioning

confidence: 99%

Surgical Approaches for Total Hip Arthroplasty

Moretti

Post

2017

IJOO

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Total hip arthroplasty (THA) has become one of the most reliable and patient-requested surgical interventions in all medicine. The procedure can be performed using a variety of surgical approaches, but the posterior approach, direct lateral approach, and direct anterior approach are by far the most common across the globe. This article highlights the history and technique for each of these common approaches. A review of outcomes and complications for each approach are also provided. Each approach has its own unique advantages and disadvantages, but all can be safely and successful utilized for THA. Strong, convincing, high-quality studies comparing the different approaches are lacking at this time. Surgeons are therefore recommended to choose whichever approach they are most comfortable and experienced using. Though not described here, THA can also be done using the anterolateral approach (also known as the Watson Jones approach) as well as the two-incision approach. In addition, recently, some surgeons are utilizing the so-called direct superior approach for THA. While these approaches are far less commonly utilized, they are recognized as viable alternatives to traditional approaches.

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Abductor mechanism tears in primary total hip arthroplasty

Cited by 40 publications

References 11 publications

Surgical Treatment of Hip Abductor Tendon Tears

Surgical Treatment of Hip Abductor Tendon Tears

Concomitant Repair of Idiopathic Abductor Tears During Primary Total Hip Arthroplasty: Technique, Review and Outcomes

Surgical Approaches for Total Hip Arthroplasty

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