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Surgical Technique: Superior Gluteal Reconstruction

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Hip Arthroscopy and Hip Joint Preservation Surgery

Abstract

Tears of the gluteus medius and/or minimus may be associated with tendinosis, retraction, fatty infiltration, and atrophy that preclude or compromise primary repair. Several techniques have emerged to address these concerns, including tendon transfers and augmentation with allograft, autograft, xenograft, or synthetic tissue. However, available techniques are limited and clinical efficacy remains unknown. The current chapter reviews superior gluteal reconstruction (SGR) utilizing an acellular dermal allograft matrix for reconstruction of the massive, irreparable hip abductor tendon tear. Special attention is dedicated to the relevant pathoanatomy, preoperative workup, surgical indications, operative technique, postoperative rehabilitation, and outcomes. Pearls and pitfalls are summarized to highlight critical steps of the procedure. The goal of the current chapter is to equip the surgeon with a practical guide to SGR for management of chronic irreparable abductor tendon tears of the hip.

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Abbreviations

ASIS:

Anterior superior iliac spine

CPM:

Continuous passive motion

GTPS:

Greater trochanteric pain syndrome

ITB:

Iliotibial band

PROM:

Patient reported outcome measure

PSIS:

Posterior superior iliac spine

SCR:

Superior capsular reconstruction

SGR:

Superior gluteal reconstruction

TFL:

Tensor fascia lata

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Division of Sports Medicine, Section of Young Adult Hip Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, IL, USA

    Theodore Wolfson

  2. Department of Orthopaedic Surgery, Division of Sports Medicine, Section of Young Adult Hip Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  3. Midwest Orthopaedics at Rush, Hip Preservation Center, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  4. Department of Orthopaedic Surgery, Division of Sports Medicine, Section of Young Adult Hip Surgery, Rush University Medical Center, Chicago, IL, USA

    Ian M. Clapp

  5. Chicago Medical School at Rosalind Franklin University, Chicago, IL, USA

    Ian M. Clapp

  6. Lerdsin Hospital, Orthopaedics, Bangkok, Thailand

    Sunikom Suppauksorn

  7. Department of Orthopaedic Surgery, Center for Hip Preservation Surgery, Hospital for Special Surgery, New York, NY, USA

    Benedict U. Nwachukwu

  8. Weill Medical College of Cornell University, New York, NY, USA

    Benedict U. Nwachukwu

Authors
  1. Theodore Wolfson
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  2. Ian M. Clapp
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  3. Sunikom Suppauksorn
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  4. Benedict U. Nwachukwu
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  5. Shane J. Nho
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Corresponding author

Correspondence to Benedict U. Nwachukwu .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Division of Sports Medicine, Section of Young Adult Hip Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  2. Sports Medicine and Shoulder Service, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Asheesh Bedi

  3. Department of Orthopaedic Surgery, Joint Preservation and Cartilage Restoration Center, University Hospitals Case Medical Center, Cleveland, OH, USA

    Michael J. Salata

  4. Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA

    Richard C. Mather III

  5. Department of Orthopaedic Surgery, Sports Medicine and Shoulder Service, Center for Hip Preservation Surgery Weill Medical College of Cornell University, Hospital for Special Surgery, New York, NY, USA

    Bryan T. Kelly

Section Editor information

  1. Houston Methodist Center for Orthopaedics & Sports Medicine, Houston, TX, USA

    Joshua D. Harris

  2. Rush University Medical Center, Chicago, IL, USA

    Joshua D. Harris

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Wolfson, T., Clapp, I.M., Suppauksorn, S., Nwachukwu, B.U., Nho, S.J. (2022). Surgical Technique: Superior Gluteal Reconstruction. In: Nho, S.J., Bedi, A., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-43240-9_174

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  • DOI: https://doi.org/10.1007/978-3-030-43240-9_174

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-43239-3

  • Online ISBN: 978-3-030-43240-9

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