Transfer of the anterior gluteus maximus to address abductor deficiency following soft tissue tumour excision
Hip abductor deficiency is most commonly encountered in the context of degeneration of the hip, and techniques for reconstruction pioneered by arthroplasty surgeons. We adopted a local muscle transfer technique utilizing the anterior half of the gluteus maximus for abductor reconstruction following...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-02-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/2309499020901350 |
| _version_ | 1818133118613192704 |
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| author | Graham Ka-Hon Shea Raymond Ching-Hin Yau Tony Wai-Hung Shek Wai-Yip Ho Albert Ying-Lee Lam |
| author_facet | Graham Ka-Hon Shea Raymond Ching-Hin Yau Tony Wai-Hung Shek Wai-Yip Ho Albert Ying-Lee Lam |
| author_sort | Graham Ka-Hon Shea |
| collection | DOAJ |
| description | Hip abductor deficiency is most commonly encountered in the context of degeneration of the hip, and techniques for reconstruction pioneered by arthroplasty surgeons. We adopted a local muscle transfer technique utilizing the anterior half of the gluteus maximus for abductor reconstruction following soft tissue tumour excision in a young female patient. The patient of concern had a solitary fibrous tumour located between the right gluteus medius and minimus detected as an incidental finding. Marginal excision of the mass resulted in removal of the gluteus medius. The anterior half of the gluteus maximus was transferred and attached to the decorticated lateral greater trochanter by means of suture anchors and transosseous sutures. The patient initially demonstrated a Trendelenburg gait and limited abduction against gravity. By 1-year post-operation, there was return of normal gait and recovery of hip abductor power. This is the first report of anterior gluteus maximus transfer being successfully applied for soft tissue reconstruction around the hip subsequent to tumour excision. |
| first_indexed | 2024-12-11T08:47:39Z |
| format | Article |
| id | doaj.art-fc04c85322eb4232b34f232e61fc1963 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-11T08:47:39Z |
| publishDate | 2020-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-fc04c85322eb4232b34f232e61fc19632022-12-22T01:14:06ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902020-02-012810.1177/2309499020901350Transfer of the anterior gluteus maximus to address abductor deficiency following soft tissue tumour excisionGraham Ka-Hon Shea0Raymond Ching-Hin Yau1Tony Wai-Hung Shek2Wai-Yip Ho3Albert Ying-Lee Lam4 Department of Orthopaedics and Traumatology, Queen Mary Hospital, Pokfulam, Hong Kong, China Department of Orthopaedics and Traumatology, Queen Mary Hospital, Pokfulam, Hong Kong, China Department of Pathology, Queen Mary Hospital, Pokfulam, Hong Kong, China Department of Orthopaedics and Traumatology, Queen Mary Hospital, Pokfulam, Hong Kong, China Department of Orthopaedics and Traumatology, Queen Mary Hospital, Pokfulam, Hong Kong, ChinaHip abductor deficiency is most commonly encountered in the context of degeneration of the hip, and techniques for reconstruction pioneered by arthroplasty surgeons. We adopted a local muscle transfer technique utilizing the anterior half of the gluteus maximus for abductor reconstruction following soft tissue tumour excision in a young female patient. The patient of concern had a solitary fibrous tumour located between the right gluteus medius and minimus detected as an incidental finding. Marginal excision of the mass resulted in removal of the gluteus medius. The anterior half of the gluteus maximus was transferred and attached to the decorticated lateral greater trochanter by means of suture anchors and transosseous sutures. The patient initially demonstrated a Trendelenburg gait and limited abduction against gravity. By 1-year post-operation, there was return of normal gait and recovery of hip abductor power. This is the first report of anterior gluteus maximus transfer being successfully applied for soft tissue reconstruction around the hip subsequent to tumour excision.https://doi.org/10.1177/2309499020901350 |
| spellingShingle | Graham Ka-Hon Shea Raymond Ching-Hin Yau Tony Wai-Hung Shek Wai-Yip Ho Albert Ying-Lee Lam Transfer of the anterior gluteus maximus to address abductor deficiency following soft tissue tumour excision Journal of Orthopaedic Surgery |
| title | Transfer of the anterior gluteus maximus to address abductor deficiency following soft tissue tumour excision |
| title_full | Transfer of the anterior gluteus maximus to address abductor deficiency following soft tissue tumour excision |
| title_fullStr | Transfer of the anterior gluteus maximus to address abductor deficiency following soft tissue tumour excision |
| title_full_unstemmed | Transfer of the anterior gluteus maximus to address abductor deficiency following soft tissue tumour excision |
| title_short | Transfer of the anterior gluteus maximus to address abductor deficiency following soft tissue tumour excision |
| title_sort | transfer of the anterior gluteus maximus to address abductor deficiency following soft tissue tumour excision |
| url | https://doi.org/10.1177/2309499020901350 |
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