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Lesion of the hip abductor mechanism

Introduction: The disruption of the abductor muscles of the hip after hip revision surgery often causes limping, pain, and instability of the implant. The purpose of our paper is to describe a mesh technique to repair hip abductor mechanism injuries after hip revision. Patients and methods: Forty-si...

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Autores principales: Caviglia, Horacio, Cambiaggi, Guillermo, Vattani, Nosrat, Landro, María Eulalia, Galatro, Gustavo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4935799/
https://www.ncbi.nlm.nih.gov/pubmed/27382925
http://dx.doi.org/10.1051/sicotj/2016020
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author Caviglia, Horacio
Cambiaggi, Guillermo
Vattani, Nosrat
Landro, María Eulalia
Galatro, Gustavo
author_facet Caviglia, Horacio
Cambiaggi, Guillermo
Vattani, Nosrat
Landro, María Eulalia
Galatro, Gustavo
author_sort Caviglia, Horacio
collection PubMed
description Introduction: The disruption of the abductor muscles of the hip after hip revision surgery often causes limping, pain, and instability of the implant. The purpose of our paper is to describe a mesh technique to repair hip abductor mechanism injuries after hip revision. Patients and methods: Forty-six patients with hip abductor damage after prosthetic revision were treated. Inclusion criteria were: patients presenting with prosthetic loosening, complaint of pain, and with a positive Trendelenburg sign due to deficient abductor muscle mechanisms. Thirty-one were women (67.39%) with an average age of 64 years (34–82 years). The number of previous revision surgeries was three (two to seven). The Merle d’Aubigné score and variants before and after treatment were also reported. Results: In the postoperative follow-up after hip revision with the mesh technique, the Merle d’Aubigné score improved and the Trendelenburg sign was negative in 78.3% of the patients (p < 0.001). Also, the Trendelenburg test with the knee flexed was negative in 60.9% (p < 0.001) and the stair-climbing test was negative in 60.9% of cases (p < 0.001). The gluteus medius test in the lateral position was negative in 52.2% of patients, and in the lateral position with the knee flexed it was negative in 47.8% of patients (p < 0.001). Discussion: Repair of the abductor mechanism with the mesh technique has proven effective for both partial and total lesions.
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spelling pubmed-49357992016-07-20 Lesion of the hip abductor mechanism Caviglia, Horacio Cambiaggi, Guillermo Vattani, Nosrat Landro, María Eulalia Galatro, Gustavo SICOT J Original Article Introduction: The disruption of the abductor muscles of the hip after hip revision surgery often causes limping, pain, and instability of the implant. The purpose of our paper is to describe a mesh technique to repair hip abductor mechanism injuries after hip revision. Patients and methods: Forty-six patients with hip abductor damage after prosthetic revision were treated. Inclusion criteria were: patients presenting with prosthetic loosening, complaint of pain, and with a positive Trendelenburg sign due to deficient abductor muscle mechanisms. Thirty-one were women (67.39%) with an average age of 64 years (34–82 years). The number of previous revision surgeries was three (two to seven). The Merle d’Aubigné score and variants before and after treatment were also reported. Results: In the postoperative follow-up after hip revision with the mesh technique, the Merle d’Aubigné score improved and the Trendelenburg sign was negative in 78.3% of the patients (p < 0.001). Also, the Trendelenburg test with the knee flexed was negative in 60.9% (p < 0.001) and the stair-climbing test was negative in 60.9% of cases (p < 0.001). The gluteus medius test in the lateral position was negative in 52.2% of patients, and in the lateral position with the knee flexed it was negative in 47.8% of patients (p < 0.001). Discussion: Repair of the abductor mechanism with the mesh technique has proven effective for both partial and total lesions. EDP Sciences 2016-07-06 /pmc/articles/PMC4935799/ /pubmed/27382925 http://dx.doi.org/10.1051/sicotj/2016020 Text en © The Authors, published by EDP Sciences, 2016 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Caviglia, Horacio
Cambiaggi, Guillermo
Vattani, Nosrat
Landro, María Eulalia
Galatro, Gustavo
Lesion of the hip abductor mechanism
title Lesion of the hip abductor mechanism
title_full Lesion of the hip abductor mechanism
title_fullStr Lesion of the hip abductor mechanism
title_full_unstemmed Lesion of the hip abductor mechanism
title_short Lesion of the hip abductor mechanism
title_sort lesion of the hip abductor mechanism
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4935799/
https://www.ncbi.nlm.nih.gov/pubmed/27382925
http://dx.doi.org/10.1051/sicotj/2016020
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AT galatrogustavo lesionofthehipabductormechanism