Repair of a Deficient Abductor Mechanism with Achilles Tendon Allograft After Total Hip Replacement examines the use of fresh-frozen Achilles tendon allograft with an attached calcaneal bone graft to treat abductor mechanism insufficiency in 7 patients who developed the complication after total hip arthroplasty. The study found that after a minimum 24-month follow up, patients' average Harris hip score improved from 34.8 to 85.9 points and average pain score improved from 11.4 to 38.9 points, indicating significant pain relief, improved abductor strength, decreased limp, and improved Trendelenburg sign. The study concludes the treatment can effectively improve patient outcomes in the early follow up
Repair of a Deficient Abductor Mechanism with Achilles Tendon Allograft After Total Hip Replacement examines the use of fresh-frozen Achilles tendon allograft with an attached calcaneal bone graft to treat abductor mechanism insufficiency in 7 patients who developed the complication after total hip arthroplasty. The study found that after a minimum 24-month follow up, patients' average Harris hip score improved from 34.8 to 85.9 points and average pain score improved from 11.4 to 38.9 points, indicating significant pain relief, improved abductor strength, decreased limp, and improved Trendelenburg sign. The study concludes the treatment can effectively improve patient outcomes in the early follow up
Repair of a Deficient Abductor Mechanism with Achilles Tendon Allograft After Total Hip Replacement examines the use of fresh-frozen Achilles tendon allograft with an attached calcaneal bone graft to treat abductor mechanism insufficiency in 7 patients who developed the complication after total hip arthroplasty. The study found that after a minimum 24-month follow up, patients' average Harris hip score improved from 34.8 to 85.9 points and average pain score improved from 11.4 to 38.9 points, indicating significant pain relief, improved abductor strength, decreased limp, and improved Trendelenburg sign. The study concludes the treatment can effectively improve patient outcomes in the early follow up
Repair of a Deficient Abductor Mechanism with Achilles Tendon Allograft After
Total Hip Replacement
ABSTRACT Abductor mechanism insufficiency after total hip arthroplasty is a rare complication, often presenting with severe dysfunction among patients. Dysfunction include severe pain, limp and general sense of dysfunction. Among the difficulties presented by the complication is the diagnosis of the disease and treatment options to successfully correct or improve the functionality of the patient. The purpose of this study is to examine the response of patients to a treatment modality involving freshfrozen Achilles tendon allograft with an attached calcaneal bone graft. The study is a retrospective study from 2003 to 2006, wherein seven patients, with abductor insufficiency secondary to total hip athroplasty with a mean of twenty-nine months after surgery, were assessed for lateral hip pain and abductor muscle weakness. Harris hip score and average pain scores where used along with Trendelenburg test to assess the severity of dysfunction. Using arthrogram, abductor tendon rupture was diagnosed and confirmed during surgery. After total hip replacement, the average Harris hip score was 34.8 points and the average pain score was 11.4. Post abductor insufficiency repair and a minimum follow up of twenty four months, the average Harris hip score improved to 85.9 points and the average pain score to 38.9 points. In conclusion, the repair of abductor insufficiency using Achilles tendon Allograft with calcaneal bone attached to the greater trochanter can significantly improve pain relief, abductor muscle strength, decrease limp and improve Trendelenburg sign during the early follow up patients.
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