Open surgical repair of hip abductor tendon tears.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Danish medical journal Pub Date : 2024-02-08 DOI:10.61409/A08230526

Jeppe Lange, Bent Lund, Kasper Spoorendonk, Marie Bagger Bohn

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引用次数: 0

Abstract

Introduction: Tendinopathy and tendon tears of the gluteus medius and/or minimus (GMM) insertion at the greater trochanter are increasingly recognised internationally as a cause of recalcitrant lateral hip pain (LHP). The purpose of this study was to report the first Danish results of open surgical repair of GMM tears in female patients.

Methods: In this retrospective observational study, we included 67 women (68 hips) with a mean (95% confidence interval (CI)) age of 59 (56-61) years who underwent open GMM repair between September 2018 and June 2022. All cases had magnetic resonance imaging before surgery. Pre-, three- and 12-month post-operative testing included LHP (numerical rating scale 0-10), Copenhagen Hip and Groin Outcome Score (HAGOS), Oxford Hip Score (OHS), the EuroQol-Visual Analogue Scale (EQ-VAS) and the Global Rating of Change score (GROC). Responses on GROC were considered successful if patients scored "moderately better" to "very much better". Function of the lower limbs was assessed by the 30-second Chair-Stand-Test (CST).

Results: From pre-testing to 12-month follow-up, LHP at rest and during activity decreased significantly, all HAGOS subgroups improved by 27-35 points, the OHS improved from 22 to 35 points, the EQ-VAS improved from 52 to 72 points and the mean (95% CI) number of repetitions in the CST improved by 2.4 (1.4-3.3). Success on the GROC was reported by 79% of the patients.

Conclusion: Open surgical repair of GMM tendon tears in women produced statistically significant improvements in patient-reported outcomes at one-year follow-up.

Funding: None.

Trial registration: Not relevant.

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髋关节内收肌腱撕裂的开放式手术修复。

导言：臀中肌和/或臀小肌（GMM）插入大转子处的肌腱病变和肌腱撕裂日益被国际公认为是导致顽固性外侧髋关节疼痛（LHP）的原因之一。本研究旨在报告丹麦首次对女性患者的臀中肌和/或臀小肌（GMM）撕裂进行开放手术修复的结果：在这项回顾性观察研究中，我们纳入了 67 名女性（68 个髋关节），平均年龄（95% 置信区间 (CI)）为 59（56-61）岁，在 2018 年 9 月至 2022 年 6 月期间接受了开放式 GMM 修复术。所有病例术前均进行了磁共振成像检查。术前、术后3个月和术后12个月的测试包括LHP（数字评分表0-10）、哥本哈根髋关节和腹股沟结果评分（HAGOS）、牛津髋关节评分（OHS）、EuroQol-视觉模拟量表（EQ-VAS）和全球变化评分（GROC）。如果患者在 GROC 上的评分为 "中度改善 "至 "非常改善"，则视为成功。下肢功能通过 30 秒椅子-站立测试（CST）进行评估：从测试前到 12 个月的随访期间，静息时和活动时的 LHP 显著下降，所有 HAGOS 亚组都提高了 27-35 分，OHS 从 22 分提高到 35 分，EQ-VAS 从 52 分提高到 72 分，CST 的平均重复次数（95% CI）提高了 2.4（1.4-3.3）次。79%的患者在GROC方面取得了成功：结论：对女性 GMM 肌腱撕裂进行开放性手术修复，可在一年随访中显著改善患者报告的结果：无：试验注册：不相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.