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Clinical results after open gluteus medius repair in single-row technique
Journal of Experimental Orthopaedics Pub Date : 2022-06-11 , DOI: 10.1186/s40634-022-00483-x
Alexander Derksen 1 , Eike Lonnemann 1 , Stefan Budde 2 , Onno Becker 1 , Nils Wirries 1 , Marco Haertlé 1 , Henning Windhagen 1
Affiliation  

The aim of this retrospective study is to present the clinical results of open repair of gluteus medius and gluteus minimus tendon tears using the single-row suture anchor technique. This retrospective study included 43 participants after open repair of the abductor tendon of the hip joint using a single-row suture anchor technique. Clinical outcome parameters were assessed by VAS (0–10), gait safety (1 = absolutely safe gait without assistive devices - 10 = gait not possible), SHV (0–100%), mHHS, WOMAC, and gluteal muscle strength status from single-leg stance and against gravity. Thirty-two female and 11 male subjects with an average age of 65.2 years were included in this study. Overall, a significant decrease in pain (VAS 3.2) and improvement in joint function is observed after a period of 22.3 months. The mHHS reached 61.9 points, WOMAC 28.2, SHV 69.8% and gait stability measured by the VAS reached 3.4. 58.1% of the participants reported not having Trendelenburg, while 4% could not control the single leg stance. The present study shows that single row repair for open glutueus medius refixation indicates limited clinical results. Although there was an improvement in clinical outcome. The majority of subjects continued to report limiting symptoms.

中文翻译:

单排技术开放式臀中肌修复的临床效果

这项回顾性研究的目的是展示使用单排缝合锚技术开放修复臀中肌和臀小肌腱撕裂的临床结果。这项回顾性研究包括使用单排缝合锚技术对髋关节外展肌腱进行开放性修复后的 43 名参与者。临床结果参数通过 VAS (0-10)、步态安全性 (1 = 没有辅助装置的绝对安全步态 - 10 = 不可能的步态)、SHV (0-100%)、mHHS、WOMAC 和臀肌力量状态进行评估单腿站立和对抗重力。本研究包括32名女性和11名男性受试者,平均年龄为65.2岁。总体而言,在 22.3 个月后观察到疼痛显着减轻(VAS 3.2)和关节功能改善。mHHS 达到 61.9 分,WOMAC 28.2,SHV 69.8%,VAS 测量的步态稳定性达到 3.4。58.1% 的参与者报告说没有特伦德伦伯卧位,而 4% 的人无法控制单腿站姿。本研究表明,开放式臀中肌再固定的单排修复表明临床结果有限。尽管临床结果有所改善。大多数受试者继续报告限制性症状。
更新日期:2022-06-12
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