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Surgical Technique: Gluteus Maximus Transfer

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

Gluteal tendon pathology is associated with peritrochanteric hip pain, abnormal gait, and hip abduction weakness. The spectrum of tendon problems (gluteus medius, gluteus minimus) includes tendonitis, tendinopathy, tendinosis, partial-thickness tearing, and full-thickness tearing with or without retraction. Abductor deficiency, either resulting secondary to total hip arthroplasty or primary abductor disruption, is a well-known cause of a Trendelenburg gait with associated pain, dysfunction, and instability. A clear patient history, clinical exam, and supplementary imaging studies aid in establishing and diagnosing abductor deficiency. Primary gluteal repair with or without augmentation is a reliable technique in the setting of most gluteal tendon tears. Gluteus maximus transfer is a proven and effective treatment strategy for severe abductor deficiency when primary repair is not possible or at high risk of failure.

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Author information

Authors and Affiliations

  1. Beverly Hills Orthopedic Institute, Beverly Hills, CA, USA

    Jonathan M. Frank & Evan P. Sandefur

  2. Department of Orthopedics, University of Utah Health Care, Salt Lake City, UT, USA

    Andrew E. Federer

  3. Rush Medical School, Chicago, IL, USA

    Andrew E. Federer

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

    Simon Lee

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

    Shane J. Nho

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

    Shane J. Nho

Authors
  1. Jonathan M. Frank
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  2. Evan P. Sandefur
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  3. Andrew E. Federer
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  4. Simon Lee
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  5. Shane J. Nho
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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 and Sports Medicine, Houston, TX, USA

    Joshua D. Harris

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

    Joshua D. Harris

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Frank, J.M., Sandefur, E.P., Federer, A.E., Lee, S., Nho, S.J. (2022). Surgical Technique: Gluteus Maximus Transfer. 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_74

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  • DOI: https://doi.org/10.1007/978-3-030-43240-9_74

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-43239-3

  • Online ISBN: 978-3-030-43240-9

  • eBook Packages: MedicineReference Module Medicine

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