Primary Open Abductor Reconstruction: A 5 to 10-Year Study

Olivia J K Fox; Graeme Wertheimer; Michael J Walsh

doi:10.1016/j.arth.2019.11.012

Primary Open Abductor Reconstruction: A 5 to 10-Year Study

J Arthroplasty. 2020 Apr;35(4):941-944. doi: 10.1016/j.arth.2019.11.012. Epub 2019 Nov 14.

Authors

Olivia J K Fox¹, Graeme Wertheimer², Michael J Walsh³

Affiliations

¹ Department of Surgery, School of Medicine, University of Notre Dame, Sydney, New South Wales, Australia.
² Department of Orthopaedics, St John of God Hospital, Windsor, New South Wales, Australia; Department of Surgery, School of Medicine, University of Notre Dame, Sydney, New South Wales, Australia.
³ Department of Orthopaedics, St John of God Hospital, Windsor, New South Wales, Australia.

PMID: 31813815
DOI: 10.1016/j.arth.2019.11.012

Abstract

Background: Gluteal tears are recognized as the source of pain over the greater trochanter. We investigated the outcome of primary open abductor tendon reconstruction with a 5-10 year follow-up.

Methods: One hundred sixty-five consecutive hips underwent an open abductor tendon reconstruction, with all tears confirmed preoperatively by magnetic resonance imaging. Oxford Hip Scores (OHS) were assessed at the initial visit, and at 5-10 years.

Results: The average preoperative OHS was 22 (range 7-34) and average postoperative OHS was 40 a difference of 18 (P < .0001).

Conclusion: Surgical reconstruction of degenerate abductor tendons should be considered in the presence of a magnetic resonance imaging confirmed separation where clinical findings are consistent with the known tendon disruption. Open transosseous reconstruction reliably results in good pain relief at 5-10 years.

Keywords: abductor; chronic; gluteal tendinopathy; hip; pain; reconstruction.

MeSH terms

Humans
Magnetic Resonance Imaging
Plastic Surgery Procedures*
Tendon Injuries* / surgery
Tendons / surgery
Treatment Outcome