Surgical Technique: Transfer of the Anterior Portion of the Gluteus Maximus Muscle for Abductor Deficiency of the Hip

Whiteside, Leo A.

doi:10.1007/s11999-011-1975-y

Cited by 116 publications

(157 citation statements)

References 13 publications

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“…The other options described for the vastus lateralis muscle transfers or slides [8,9] and gluteus maximus muscle transfers [7,17] appear to be more invasive procedures and theoretically are violating the other muscle groups. Moreover the results of vastus lateralis muscle transfer or slide are only from small series of 11 [8] and three [9] patients.…”

Section: Discussionmentioning

confidence: 99%

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Surgical repair of hip abductors. A new technique using Graft Jacket® allograft acellular human dermal matrix

Rao

Kamal

Vafaye

et al. 2012

International Orthopaedics (SICOT)

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Purpose Avulsion of the abductors from the hip can be an infrequent but debilitating complication after total hip arthroplasty performed through a trans-gluteal approach. This can result in intractable pain, limp, Trendelenberg lurch and instability of the hip. There have been various methods described for repairing or reconstruction of this abductor muscle complex including direct trans-osseous repair, muscle transfers, muscle and tendon sling, bone tendon allograft reconstruction and endoscopic repair techniques. Methods In a prospective study at our institution we evaluated the results of a surgical technique in 12 patients using a transosseous repair of gluteus medius and minimus insertions augmented by a Graft Jacket® allograft acellular human dermal matrix (Graft Jacket®; Wright Medical Technology, Arlington, TN) over the anterior and anterolateral aspects of the greater trochanter. Diagnosis of hip abductor avulsions was made by evaluation of the history of presenting complaint, clinical examination and confirmed by ultrasound or MRI scans.

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Section: Discussionmentioning

confidence: 99%

“…Moreover the results of vastus lateralis muscle transfer or slide are only from small series of 11 [8] and three [9] patients. Whiteside [17] has alluded to the technique of gluteus maximus transfer being very useful for complete loss of abduction. Endoscopic repairs [5] require extensive training and a long learning curve.…”

Section: Discussionmentioning

confidence: 99%

Surgical repair of hip abductors. A new technique using Graft Jacket® allograft acellular human dermal matrix

Rao

Kamal

Vafaye

et al. 2012

International Orthopaedics (SICOT)

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“…In cases with chronic avulsion of the greater trochanter, transfer of a portion of the posterior gluteus maximus muscle into the defect between the greater trochanter and lateral femoral cortex enables capsular closure of the hip and improved abductor function [19,21]. Using the gastrocnemius muscle to achieve soft tissue closure of the knee is also common and is generally successful, and the gastrocnemius also restores extensor function of the knee when transferred into the quadriceps [11,17].…”

Section: Discussionmentioning

confidence: 99%

Surgical Technique: Muscle Transfer Restores Extensor Function After Failed Patella-Patellar Tendon Allograft

Whiteside

2014

Clinical Orthopaedics &Amp; Related Research

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“…In cases with chronic avulsion of the greater trochanter, transfer of a portion of the posterior gluteus maximus muscle into the defect between the greater trochanter and lateral femoral cortex enabled capsular closure of the hip and improved abductor function [26,27]. Using the gastrocnemius muscle to achieve soft tissue closure in the knee is also common and is generally successful, and the gastrocnemius also restores extensor function of the knee when transferred into the quadriceps [14,20].…”

Section: Discussionmentioning

confidence: 99%

Surgical Technique: Vastus Medialis and Vastus Lateralis as Flap Transfer for Knee Extensor Mechanism Deficiency

Whiteside

2013

Clinical Orthopaedics &Amp; Related Research

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Background Loss of the quadriceps tendon, patella, and patellar tendon leaves a major anterior defect that is difficult to close and compromises knee extension strength. Gastrocnemius muscle transfer does not sufficiently cover such major defects. This paper describes a new surgical technique that addresses these defects and the results of eight cases of revision TKA managed with this new technique. Description of TechniqueThe new procedure transfers the vastus medialis or the vastus lateralis and their tibial attachments or both muscles and their distal expansions combined with gastrocnemius and soleus flaps to cover major deficiencies in the anterior knee. Nine cadaver knee specimens were dissected to determine the effect of the transfer on nerve and blood supply of the muscles. Methods Eight patients underwent the new procedure between 2005 and 2009. Four knees had vastus medialis transfer, two vastus medialis and vastus lateralis transfer, two vastus medialis and medial gastrocnemius transfer, and two medial gastrocnemius and medial 1 .2 of the soleus muscle transfer. Minimum followup was 15 months (mean, 43 months; range, 15-74 months). Patients were evaluated for anterior knee pain, quality of knee closure, ROM, extensor lag, walking ability, use of assistive devices, and ability to climb stairs with the operated extremity.

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Surgical Technique: Transfer of the Anterior Portion of the Gluteus Maximus Muscle for Abductor Deficiency of the Hip

Abstract: Background Loss of the abductor portions of the gluteus medius and gluteus minimus muscles due to THA causes severe limp and often instability. Description of Technique To minimize the symptoms of limp and instability, the anterior 1 .

Cited by 116 publications

References 13 publications

Surgical repair of hip abductors. A new technique using Graft Jacket® allograft acellular human dermal matrix

Surgical repair of hip abductors. A new technique using Graft Jacket® allograft acellular human dermal matrix

Surgical Technique: Muscle Transfer Restores Extensor Function After Failed Patella-Patellar Tendon Allograft

Surgical Technique: Vastus Medialis and Vastus Lateralis as Flap Transfer for Knee Extensor Mechanism Deficiency

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