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Abductor avulsion after primary total hip arthroplasty (THA) is an uncommon event and is associated with the lateral approach. Results of surgical repair have only been reported in one previous study. In a retrospective review of 2657 primary THAs, we identified 19 (0.7%) patients operated upon for repair of abductor avulsion on average 19 months after primary THA. The study's aim was to assess improvement in pain and limp, patient satisfaction, and functional outcome (Harris Hip Score) after surgical repair. Eighteen patients were evaluated at a mean follow-up of 38 months. Overall, only half of the patients had substantial improvement of both limp and pain. Limping and functional outcome markedly improved with early repair (<15 months), whereas obesity was associated with worse functional results.

Original publication

DOI

10.1016/j.arth.2007.08.018

Type

Journal article

Journal

The Journal of arthroplasty

Publication Date

08/2008

Volume

23

Pages

694 - 698

Addresses

Orthopaedic Surgery Service, University Hospital of Geneva, Geneva, Switzerland.

Keywords

Muscle, Skeletal, Hip Joint, Humans, Joint Instability, Pain, Obesity, Treatment Outcome, Arthroplasty, Replacement, Hip, Incidence, Multivariate Analysis, Linear Models, Retrospective Studies, Follow-Up Studies, Predictive Value of Tests, Aged, Aged, 80 and over, Middle Aged, Patient Satisfaction, Female, Male