Artikel
Transfer of the tendon of the iliopsoas muscle for treatment of painful hip abductor weakness after hip arthroplasty
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Autoren
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U. Munzinger
- Schulthess Klinik, Orthopädie, Zürich
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O. Hersche
- Schulthess Klinik, Orthopädie, Zürich
| Veröffentlicht: | 19. Oktober 2004 |
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Gliederung
Text
Introduction
We present a new surgical technique for repair of an avulsed abductor muscle after hip arthroplasty.
Methods
In a first step the abductor muscle flap is reinserted into the greater trochanter, in a second step the tendon of the iliopsoas muscle together with the lesser trochanter are transposed to the anterolateral side of the femoral shaft. With this new direction the iliopsoas tendon leads to internal rotation of the hip joint and unloads the reinserted abductor muscle, allowing a more undisturbed healing.
Results
We operated 23 hips in 22 patients who predominantly complained of severe lateral thigh pain after hip arthroplasty. At a mean follow-up of five months 12 patients were painfree, three had pain occasionally, four had moderate pain and three patients still complained of severe pain.
Conclusions
There were no complications related to the mobilization and transfer of the iliopsoas tendon.
