Zhu Mark F, Musson David S, Munro Jacob T
Orthopaedic Registrar, The Bone and Joint Laboratory, The University of Auckland, Auckland; Auckland City Hospital, Department of Orthopaedic Surgery, Auckland.
AMRF Fellow, The Bone and Joint Laboratory, The University of Auckland, Auckland.
N Z Med J. 2020 Jul 31;133(1519):55-61.
Hip abductor tendon tears are a common cause of chronic hip pain and a difficult problem to manage. The aim of this survey is to establish the level of recognition by New Zealand orthopaedic surgeons and identify the challenges in treating abductor tendon repairs.
An online survey was sent to 215 consultant orthopaedic surgeons in New Zealand with a registered interest in hip surgery. The survey consisted of five questions regarding the diagnosis, management and clinical challenges related to hip abductor tendon tears.
Eighty-six of 204 eligible surgeons (42.2%) completed the survey. Almost all (90%) of respondents have diagnosed abductor tendon tears and over half (59%) have performed hip abductor tendon tears in their practice. The most common indication for repair was pain (35%), followed by functional weakness (29%), and the most common repair technique involved transosseous repair through the greater trochanter (41%), closely followed by suture anchors (37%). The majority of surgeons identified a need for novel biologics and tissue augments for improving repair.
Hip abductor tendon tears were identified as a pertinent clinical problem in this survey. An improvement in the fundamental pathological understanding of disease and greater availability of proven biologics and tissue augments are required.
髋外展肌肌腱撕裂是慢性髋部疼痛的常见原因，也是一个难以处理的问题。本次调查的目的是确定新西兰骨科医生的认知水平，并找出治疗外展肌肌腱修复的挑战。
向215名对髋关节手术有注册兴趣的新西兰骨科顾问医生发送了一份在线调查问卷。该调查包括五个关于髋外展肌肌腱撕裂的诊断、治疗和临床挑战的问题。
204名符合条件的外科医生中有86名（42.2%）完成了调查。几乎所有（90%）的受访者都诊断过外展肌肌腱撕裂，超过一半（59%）在其临床实践中进行过髋外展肌肌腱撕裂修复手术。最常见的修复指征是疼痛（35%），其次是功能无力（29%），最常见的修复技术是通过大转子进行经骨修复（41%），紧随其后的是缝合锚钉（37%）。大多数外科医生认为需要新型生物制剂和组织增强材料来改善修复效果。
在本次调查中，髋外展肌肌腱撕裂被确定为一个相关的临床问题。需要改善对该疾病基本病理的理解，并增加已证实的生物制剂和组织增强材料的可及性。
