Combined Transfer of the Gluteus Maximus and Tensor Fasciae Latae for Irreparable Gluteus Medius Tear Using Contemporary Techniques: Short-Term Outcomes
Authors: Maldonado DR, Annin S, Chen JW, Yelton MJ, Shapira J, Rosinsky PJ, Lall AC, Domb BG
Background:
Irreparable gluteus medius tears often cause substantial hip abductor weakness and pain. Muscle transfers involving the gluteus maximus and tensor fasciae latae (TFL) are emerging techniques to address this difficult pathology.
Methods:
This study assessed short-term patient-reported outcomes after combined gluteus maximus and TFL transfer for irreparable gluteus medius tears, focusing on pain relief and functional restoration.
Key Findings:
Patients demonstrated significant improvements in hip strength, function, and pain scores, including notable gains in mHHS and NAHS.
Conclusions:
The combined gluteus maximus and TFL transfer is a promising surgical option for irreparable gluteus medius tears, producing favorable short-term outcomes.
What Does This Mean for Providers?
For providers managing complex hip abductor deficiencies, this combined muscle transfer technique offers an effective option to restore function and reduce pain. Incorporating this approach may improve patient outcomes in cases where direct repair is not feasible.