Acetabular cup revision combined with tensor facia lata reconstruction for management of massive abductor avulsion after failed total hip arthroplasty

Michael Drexler, Tim Dwyer, Yona Kosashvili, Rajesh Chakravertty, Mansuor Abolghasemian, Jeffrey Gollish

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

We report on 17 patients with massive abductor avulsions after total hip arthroplasty (THA) treated with medialization of the acetabular component and tensor fascia lata (TFL) reconstruction. All patients had severe limp, positive Trendelenburg sign, and avulsion of the abductor insertion confirmed on MRI. Mean age was 69. years (range, 50-83. years), and mean follow-up period was 36. months (range, 18-78. months). After surgery, 9 patients had no limp (47%), 8 patients had a mild limp, and abductor power improved from mean 2.5/5 to mean 3.8 (P<. 0.0001). At latest follow-up, the Harris Hip Score was excellent in 6 hips (37%), good in 7 (43%) hips, and fair or poor in 3 (23%). Two patients with mild limp were not satisfied with their procedure.

Original languageEnglish
Pages (from-to)1052-1057
Number of pages6
JournalJournal of Arthroplasty
Volume29
Issue number5
DOIs
StatePublished - 1 Jan 2014
Externally publishedYes

Keywords

  • Abductor avulsion
  • Acetabular medialization
  • TFL reconstruction

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