title: Management of abductor mechanism deficiency following total hip replacement.
abstract: Deficiency of the abductor mechanism is a well-recognised cause of pain and limping after total hip replacement (THR). This can be found incidentally at the time of surgery, or it may arise as a result of damage to the superior gluteal nerve intra-operatively, or after surgery owing to mechanical failure of the abductor muscle repair or its detachment from the greater trochanter. The incidence of abductor failure has been reported as high as 20% in some studies. The management of this condition remains a dilemma for the treating surgeon. We review the current state of knowledge concerning post-THR abductor deficiency, including the aetiology, diagnosis and management, and the outcomes of surgery for this condition.
authors: Arrowe Park Hospital, Arrowe Park Road, Wirral, Merseyside CH49 5PE, UK. saurabhsodak@gmail.com
authors: S
authors: S
authors: Odak
authors: J
authors: J
authors: Ivory
mesh_terms: D019644:Arthroplasty, Replacement, Hip; D002081:Buttocks; D006801:Humans; D015994:Incidence; D059348:Peripheral Nerve Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D013708:Tendon Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy