Outcomes of Gluteus Maximus and Tensor Fascia Lata Transfer for Primary Deficiency of the Abductors of the Hip
Authors: Chandrasekaran S, Darwish N, Vemula SP, Lodhia P, Suarez-Ahedo C, Domb BG
Journal:Hip International
Background:
Irreparable abductor tendon tears can result in significant gait disturbance. Gluteus maximus and TFL tendon transfer may offer a salvage solution.
Methods:
Case series of 3 elderly female patients undergoing gluteus maximus and TFL transfer. Assessed gait, strength, pain (VAS), and satisfaction over ~2 years.
Key Findings:
- 2 of 3 patients achieved normalized gait and strength gains.
- VAS scores dropped to near zero in responders.
- One patient had mixed results, underscoring variable outcomes.
- No complications reported.
What Does This Mean for Providers?
- Gluteus maximus/TFL transfer is a viable option for non-repairable abductor deficiencies, especially in elderly, low-demand patients.
- Providers should carefully select candidates and discuss that while pain relief is likely, functional gains may vary.
- This technique requires specialized surgical expertise and should be performed by experienced hip preservation surgeons.