The association between degenerative hip joint pathology and size of the gluteus maximus and tensor fascia lata muscles

2009 ◽  
Vol 14 (6) ◽  
pp. 611-617 ◽  
Author(s):  
Alison Grimaldi ◽  
Carolyn Richardson ◽  
Gail Durbridge ◽  
William Donnelly ◽  
Ross Darnell ◽  
...  
Keyword(s):  
Hip Joint ◽  
Gluteus Maximus ◽  
Fascia Lata ◽  
Tensor Fascia Lata ◽  
Joint Pathology

scholarly journals Endoscopic Transfer of Gluteus Maximus and Tensor Fascia Lata for Primary Hip Abductor Deficiency

2020 ◽  
Vol 9 (9) ◽  
pp. e1235-e1239
Author(s):  
Mathieu Thaunat ◽  
Timothy Roberts ◽  
Aliou Bah ◽  
Thais Dutra Vieira ◽  
Ibrahim Haidar ◽  
...  
Keyword(s):  
Gluteus Maximus ◽  
Fascia Lata ◽  
Tensor Fascia Lata ◽  
Hip Abductor

Outcomes of Gluteus Maximus and Tensor Fascia Lata Transfer for Primary Deficiency of the Abductors of the Hip

2017 ◽  
Vol 27 (6) ◽  
pp. 567-572 ◽  
Author(s):  
Sivashankar Chandrasekaran ◽  
Nader Darwish ◽  
S. Pavan Vemula ◽  
Parth Lodhia ◽  
Carlos Suarez-Ahedo ◽  
...  
Keyword(s):  
Case Series ◽  
Gluteus Maximus ◽  
Fascia Lata ◽  
The Other ◽  
Harris Hip Score ◽  
Tensor Fascia Lata ◽  
Outcome Score ◽  
Small Series ◽  
Patient Reported ◽  
Abductor Strength

Purpose This study aims to present 3 patients’ results after undergoing gluteus maximus and tensor fascia lata (TFL) transfer for chronic abductor tears unable to be repaired primarily. Methods 3 patients were identified intraoperatively as having an abductor tear unable to be repaired primarily. The anterior 1/3 of the gluteus maximus and the posterior 1/3 of the TFL were mobilised and transferred to the greater trochanter in order to reproduce the normal force vector of the gluteus medius and minimus. Data was prospectively collected for changes in gait, abductor strength, and the following patient reported outcomes (PROs): modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), Hip Outcome Score-Activities of Daily Living (HOS-ADL), visual analogue scale (VAS), and satisfaction. Results The patients were female, 63-75 years old, with BMIs of 23-28. All patients had follow-up at mean 2.1 years (1.25-2.5) with positive Trendelenburg signs preoperatively; 2 patients normalised postoperatively. For 2 patients, abductor strength improved by 2 grades postoperatively; the other patient maintained grade four. 2 patients’ PROs all improved; the other patient's PROs all improved except mHHS. Postoperative VAS scores were 0, 0, 1. 2 patients reported maximum satisfaction. Conclusions This case series suggests that gluteus maximus and TFL transfer for irreparable abductor deficiency may be effective for pain relief, improving abductor strength, and reconstructing abductor function. Although this is a small series, it is to our knowledge the first report of clinical outcomes of this procedure.

New experimantal composite flap model in rats: Gluteus maximus-tensor fascia lata osteomuscle flap

Microsurgery ◽  
2003 ◽  
Vol 23 (6) ◽  
pp. 582-588 ◽  
Author(s):  
Serdar Nasir ◽  
Asim Aydin ◽  
Aycan Kayikçioğlu ◽  
Cenk Sökmensüer ◽  
Azem Çobaner
Keyword(s):  
Gluteus Maximus ◽  
Fascia Lata ◽  
Tensor Fascia Lata ◽  
Composite Flap

Tensor fascia lata muscle pedicle grafting for avascular necrosis femoral head

2016 ◽  
Vol 2 (4) ◽  
pp. 333 ◽  
Author(s):  
Mohamed Ashraf ◽  
Subramanian V. ◽  
Narayanan S. K. ◽  
Manu Mohan
Keyword(s):  
Femoral Head ◽  
Hip Joint ◽  
Fascia Lata ◽  
Harris Hip Score ◽  
Success Rates ◽  
Tensor Fascia Lata ◽  
Average Hospital ◽  
Osteonecrosis Of Femoral Head ◽  
Variable Success

<p class="abstract"><strong>Background:</strong> Osteonecrosis of femoral head (AVN) is a disabling condition with ill-defined etiology and pathogenesis. In more than 60% it leads to osteoarthritis of hip joint. Treatment for this condition includes both operative and non-operative methods with variable success rates. Surgical options being aimed at both conservation of femoral head and arthroplasty of hip joint. Aim of our study was to evaluate the efficacy of tensor fascia lata muscle pedicle grafting in the management of osteonecrosis of femoral head.</p><p class="abstract"><strong>Methods:</strong> 27 cases with a mean age of 38.7 years (range from 24 to 52) who underwent tensor fascia lata muscle pedicle grafting in the management of  osteonecrosis  of femoral head were prospectively evaluated with a  mean follow up period of  7.3 years (range from 3 to 12 years). Watson-Jones approach was used in all patients. Average hospital stay was 12 days. Harris hip score was used for the evaluation of clinical outcome.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our series of 27 cases, the Harris hip score was excellent (90-100) in 19, good (80-89) in 5, fair (70-79) in 2 and  poor  (&lt;70) in 1 case at final follow up.</p><p class="Default"><strong>Conclusions:</strong> Tensor fascia lata muscle pedicle grafting is an effective, technically easier, pain relieving head-preserving procedure and will improve outcome in properly selected patients with osteonecrosis of femoral head. </p>

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