Maldonado David R, Diulus Samantha C, Meghpara Mitchell B, Glein Rachel M, Ankem Hari K, Lall Ajay C, Domb Benjamin G
American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois, U.S.A.
Arthrosc Tech. 2021 Jan 16;10(2):e575-e580. doi: 10.1016/j.eats.2020.10.043. eCollection 2021 Feb.
Gluteus medius (GM) tears are a well-established source of pain and disability. Considering previous studies, which have reported rates of incidental GM tears in 20% of patients undergoing primary total hip arthroplasty (THA) and a 3-fold greater rate in elderly female patients, additional focus should be placed on identifying treatment options. The direct anterior approach (DAA) for primary THA has gained popularity within the past few years. However, there has been a paucity in the literature on how to address symptomatic and partial GM tears through this approach. The purpose of this Technical Note is to describe a method to repair partial GM tears during primary THA using the DAA.
臀中肌（GM）撕裂是疼痛和功能障碍的一个公认来源。考虑到先前的研究报告，在接受初次全髋关节置换术（THA）的患者中，20%存在偶发性GM撕裂，而老年女性患者的发生率则高出3倍，因此应更加关注确定治疗方案。在过去几年中，初次THA的直接前路入路（DAA）越来越受欢迎。然而，关于如何通过这种入路处理有症状的部分GM撕裂的文献却很少。本技术说明的目的是描述一种在初次THA期间使用DAA修复部分GM撕裂的方法。
