Functional Assessment and Patient-Related Outcomes after Gluteus Maximus Flap Transfer in Patients with Severe Hip Abductor Deficiency
(1) Background: Degeneration of the hip abductor mechanism, a well-known cause of functional limitation, is difficult to treat and is associated with a reduced health-related quality of life (HRQOL). The gluteus maximus muscle flap is a treatment option to support a severely degenerative modified gl...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/6/1823 |
| _version_ | 1797417066639130624 |
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| author | Paul Ruckenstuhl Georgi I. Wassilew Michael Müller Christian Hipfl Matthias Pumberger Carsten Perka Sebastian Hardt |
| author_facet | Paul Ruckenstuhl Georgi I. Wassilew Michael Müller Christian Hipfl Matthias Pumberger Carsten Perka Sebastian Hardt |
| author_sort | Paul Ruckenstuhl |
| collection | DOAJ |
| description | (1) Background: Degeneration of the hip abductor mechanism, a well-known cause of functional limitation, is difficult to treat and is associated with a reduced health-related quality of life (HRQOL). The gluteus maximus muscle flap is a treatment option to support a severely degenerative modified gluteus medius muscle. Although several reports exist on the clinical outcome, there remains a gap in the literature regarding HRQOL in conjunction with functional results. (2) Methods: The present study consists of 18 patients with a mean age of 64 (53‒79) years, operatively treated with a gluteus maximus flap due to chronic gluteal deficiency. Fifteen (83%) of these patients presented a history of total hip arthroplasty or revision arthroplasty. Pre and postoperative pain, Trendelenburg sign, internal rotation lag sign, trochanteric pain syndrome, the Harris Hip Score (HHS), and abduction strength after Janda (0‒5) were evaluated. Postoperative patient satisfaction and health-related quality of life, according to the Short Form 36 (SF-36), were used as patient-reported outcome measurements (PROMs). Postoperative MRI scans were performed in 13 cases (72%). (3) Results: Local pain decreased from NRS 6.1 (0–10) to 4.9 (0–8) and 44% presented with a negative Trendelenburg sign postoperatively. The overall HHS results (<i>p</i> = 0.42) and muscular abduction strength (<i>p</i> = 0.32) increased without significance. The postoperative HRQOL reached 46.8 points (31.3–62.6) for the mental component score and 37.1 points (26.9–54.7) for the physical component score. The physical component results presented a high level of positive correlation with HHS scores postoperatively (R = 0.88, <i>p</i> < 0.001). Moreover, 72% reported that they would undergo the operative treatment again. The MRI overall showed no significant further loss of muscle volume and no further degeneration of muscular tissue. (4) Conclusions: Along with fair functional results, the patients treated with a gluteus maximus flap transfer presented satisfying long-term PROMs. Given this condition, the gluteus maximus muscle flap transfer is a viable option for selected patients with chronic gluteal deficiency. |
| first_indexed | 2024-03-09T06:14:32Z |
| format | Article |
| id | doaj.art-422f593480b4406099178d56ab21f685 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T06:14:32Z |
| publishDate | 2020-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-422f593480b4406099178d56ab21f6852023-12-03T11:55:03ZengMDPI AGJournal of Clinical Medicine2077-03832020-06-0196182310.3390/jcm9061823Functional Assessment and Patient-Related Outcomes after Gluteus Maximus Flap Transfer in Patients with Severe Hip Abductor DeficiencyPaul Ruckenstuhl0Georgi I. Wassilew1Michael Müller2Christian Hipfl3Matthias Pumberger4Carsten Perka5Sebastian Hardt6Center for Musculoskeletal Surgery, Charité University Hospital, 10117 Berlin, GermanyDepartment of Orthopaedics, University Hospital Greifswald, 17487 Greifswald, GermanyCenter for Musculoskeletal Surgery, Charité University Hospital, 10117 Berlin, GermanyCenter for Musculoskeletal Surgery, Charité University Hospital, 10117 Berlin, GermanyCenter for Musculoskeletal Surgery, Charité University Hospital, 10117 Berlin, GermanyCenter for Musculoskeletal Surgery, Charité University Hospital, 10117 Berlin, GermanyCenter for Musculoskeletal Surgery, Charité University Hospital, 10117 Berlin, Germany(1) Background: Degeneration of the hip abductor mechanism, a well-known cause of functional limitation, is difficult to treat and is associated with a reduced health-related quality of life (HRQOL). The gluteus maximus muscle flap is a treatment option to support a severely degenerative modified gluteus medius muscle. Although several reports exist on the clinical outcome, there remains a gap in the literature regarding HRQOL in conjunction with functional results. (2) Methods: The present study consists of 18 patients with a mean age of 64 (53‒79) years, operatively treated with a gluteus maximus flap due to chronic gluteal deficiency. Fifteen (83%) of these patients presented a history of total hip arthroplasty or revision arthroplasty. Pre and postoperative pain, Trendelenburg sign, internal rotation lag sign, trochanteric pain syndrome, the Harris Hip Score (HHS), and abduction strength after Janda (0‒5) were evaluated. Postoperative patient satisfaction and health-related quality of life, according to the Short Form 36 (SF-36), were used as patient-reported outcome measurements (PROMs). Postoperative MRI scans were performed in 13 cases (72%). (3) Results: Local pain decreased from NRS 6.1 (0–10) to 4.9 (0–8) and 44% presented with a negative Trendelenburg sign postoperatively. The overall HHS results (<i>p</i> = 0.42) and muscular abduction strength (<i>p</i> = 0.32) increased without significance. The postoperative HRQOL reached 46.8 points (31.3–62.6) for the mental component score and 37.1 points (26.9–54.7) for the physical component score. The physical component results presented a high level of positive correlation with HHS scores postoperatively (R = 0.88, <i>p</i> < 0.001). Moreover, 72% reported that they would undergo the operative treatment again. The MRI overall showed no significant further loss of muscle volume and no further degeneration of muscular tissue. (4) Conclusions: Along with fair functional results, the patients treated with a gluteus maximus flap transfer presented satisfying long-term PROMs. Given this condition, the gluteus maximus muscle flap transfer is a viable option for selected patients with chronic gluteal deficiency.https://www.mdpi.com/2077-0383/9/6/1823gluteus maximus flap transferabductor mechanism deficiencytotal hip arthroplasty |
| spellingShingle | Paul Ruckenstuhl Georgi I. Wassilew Michael Müller Christian Hipfl Matthias Pumberger Carsten Perka Sebastian Hardt Functional Assessment and Patient-Related Outcomes after Gluteus Maximus Flap Transfer in Patients with Severe Hip Abductor Deficiency Journal of Clinical Medicine gluteus maximus flap transfer abductor mechanism deficiency total hip arthroplasty |
| title | Functional Assessment and Patient-Related Outcomes after Gluteus Maximus Flap Transfer in Patients with Severe Hip Abductor Deficiency |
| title_full | Functional Assessment and Patient-Related Outcomes after Gluteus Maximus Flap Transfer in Patients with Severe Hip Abductor Deficiency |
| title_fullStr | Functional Assessment and Patient-Related Outcomes after Gluteus Maximus Flap Transfer in Patients with Severe Hip Abductor Deficiency |
| title_full_unstemmed | Functional Assessment and Patient-Related Outcomes after Gluteus Maximus Flap Transfer in Patients with Severe Hip Abductor Deficiency |
| title_short | Functional Assessment and Patient-Related Outcomes after Gluteus Maximus Flap Transfer in Patients with Severe Hip Abductor Deficiency |
| title_sort | functional assessment and patient related outcomes after gluteus maximus flap transfer in patients with severe hip abductor deficiency |
| topic | gluteus maximus flap transfer abductor mechanism deficiency total hip arthroplasty |
| url | https://www.mdpi.com/2077-0383/9/6/1823 |
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