Ramsay Santé, Hôpital Privé Jean-Mermoz, Centre Orthopédique Santy, 24, avenue Paul-Santy, 69008 Lyon, France.
Ramsay Santé, Hôpital Privé Jean-Mermoz, Centre Orthopédique Santy, 24, avenue Paul-Santy, 69008 Lyon, France.
Orthop Traumatol Surg Res. 2021 Dec;107(8):102927. doi: 10.1016/j.otsr.2021.102927. Epub 2021 Apr 9.
We report preliminary results for a novel technique of endoscopic Whiteside transfer for massive gluteus medius tear: i.e., tendon reinsertion not or only partly feasible and/or severe fatty atrophy of the muscle. Endoscopic transfer of gluteus maximus and/or tensor fasciae latae is associated to gluteus medius tendon reinsertion if at least partial tendon repair is feasible. In a continuous series of 6 patients at a minimum 2 years' follow-up, there was 1 early failure; 2 patients showed no improvement in pain and limping; 3 had satisfactory results, including 2 with complete resolution of limping and pain. Endoscopic Whiteside transfer associated to gluteus medius tendon repair provided only moderate results in terms of recovery of abduction power and resolution of Trendelenburg gait.
我们报告了一种用于治疗巨大臀中肌撕裂的新型内镜 Whiteside 转移技术的初步结果：即肌腱无法重新插入或仅部分可行和/或肌肉严重脂肪萎缩。如果至少部分肌腱修复可行，可将臀大肌和/或阔筋膜张肌的内镜转移与臀中肌肌腱重新插入相关联。在 6 例连续患者的至少 2 年随访中，有 1 例早期失败；2 例患者疼痛和跛行无改善；3 例结果满意，其中 2 例跛行和疼痛完全缓解。在内镜下 Whiteside 转移联合臀中肌肌腱修复在恢复外展力量和解决臀中肌步态方面仅取得了中等结果。
