HIP International最新文献

{"title":"Intraprosthetic dislocation in modular dual-mobility: does the company matter? A systematic review and meta-analysis.","authors":"Jean Shanaa, Jacob Stoebner, Theodor Di Pauli von Treuheim, Ran Schwarzkopf, Anna Cohen-Rosenblum, Vinay K Aggarwal","doi":"10.1177/11207000261476270","DOIUrl":"https://doi.org/10.1177/11207000261476270","url":null,"abstract":"<p><strong>Introduction: </strong>Intraprosthetic dislocation (IPD) is a rare but potentially catastrophic complication of dual-mobility (DM) implants, defined by dissociation of the inner femoral head from the polyethylene liner. Modular dual-mobility (MDM) designs were introduced to improve intraoperative flexibility and expand indications for DM technology. However, increasing reports of IPD have raised concerns that implant design and manufacturing differences may influence risk. The true incidence of IPD across MDM manufacturers remains unclear.</p><p><strong>Methods: </strong>A systematic search of PubMed, Embase, and Web of Science was performed. Studies reporting IPD incidence and stratified outcomes by implant manufacturer were included. A random-effects proportion meta-analysis was conducted to estimate pooled IPD incidence and revision rates overall and by manufacturer.</p><p><strong>Results: </strong>Of 523 identified articles, 32 met inclusion criteria, representing 3996 implants (2711 primary; 1285 revision). Mean follow-up was 3.48 years and mean age was 67.48 years. The overall IPD incidence was 0.38% (15/3996), with a pooled estimate of 0.1% (95% CI, 0-0.5%). Stratified analyses showed IPD rates of 0% for Stryker (95% CI, 0-0.7%), 0% for Zimmer (95% CI, 0-100%), and 0% for Groupe Lépine (95% CI, 0-100%). Reoperation rates were 1.4% (95% CI, 0.9-2.1%) in primary and 8.3% (95% CI, 6.0-11.3%) in revision THA.</p><p><strong>Conclusions: </strong>The incidence of IPD in MDM implants is low, with pooled rates remaining below 1%. Revision rates were modest and consistent with published data on complex hip arthroplasty. No significant differences between manufacturers were detected, though findings are limited by the small number of non-Stryker implants reported. These findings suggest that MDM designs appear safe with overall low numbers of IPD-related complications, however, larger registry-based studies are needed to better define potential design-related differences in IPD risk.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261476270"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Upward versus downward pelvic obliquity in dysplastic hip osteoarthritis: direction-specific factors associated with residual obliquity after total hip arthroplasty.","authors":"Hiroyuki Yokoi, Yusuke Osawa, Hiroto Funahashi, Yuto Ozawa, Yasuhiko Takegami, Shiro Imagama","doi":"10.1177/11207000261473815","DOIUrl":"https://doi.org/10.1177/11207000261473815","url":null,"abstract":"<p><strong>Introduction: </strong>Pelvic obliquity (PO) in dysplastic hip osteoarthritis may tilt upward (U-PO) or downward (D-PO) on the affected side. U-PO tends to persist more frequently after total hip arthroplasty (THA) than D-PO; however, the contributing factors remain unclear. This study investigated factors associated with residual PO after THA according to preoperative PO direction.</p><p><strong>Methods: </strong>This retrospective study included 116 patients (21 men, 95 women) who underwent unilateral THA for dysplastic hip osteoarthritis with preoperative PO ⩾2°. Patients were classified into U-PO (<i>n =</i> 35) or D-PO (<i>n =</i> 81). Pre- and postoperative radiographic parameters of the spine and legs were analysed to identify factors associated with residual PO.</p><p><strong>Results: </strong>In the U-PO group, leg lengthening was independently associated with residual PO (odds ratio [OR], 1.390; 95% confidence interval [CI], 1.010-1.910; <i>p</i> = 0.045). In the D-PO group, greater preoperative lumbar scoliosis angle (OR, 1.180; 95% CI, 1.030-1.360; <i>p</i> = 0.022) and reduced lumbar lateral bending mobility (OR, 0.681; 95% CI, 0.540-0.858; <i>p</i> = 0.001) were independently associated with residual PO.</p><p><strong>Conclusions: </strong>Direction-specific assessment of PO may help anticipate residual coronal malalignment after THA, with greater leg lengthening associated with residual U-PO and spinal deformity and reduced lumbar flexibility associated with residual D-PO.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261473815"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total hip arthroplasty with dual-mobility components is associated with excellent clinical outcomes and low metal ion blood levels at 2 years.","authors":"Karan Sandhu, Lucy J Salmon, Matthew C Lyons, Benjamin R Gooden, Michael D O'Sullivan","doi":"10.1177/11207000261474376","DOIUrl":"https://doi.org/10.1177/11207000261474376","url":null,"abstract":"<p><strong>Background: </strong>Dual-mobility (DM) prostheses have been developed to reduce dislocation risk of total hip arthroplasty (THA), but concerns exist regarding potential local and systemic metal ion release. The study aimed to assess the 2-year clinical outcomes, and whole blood metal ions levels following THA with the Trinity DM system.</p><p><strong>Methods: </strong>Eligible patients (<i>n</i> = 104) underwent consecutive primary THA with a Trinity DM prosthesis. Patient-reported outcome measures (PROMs) were completed by 101 (99%) at baseline and 2 years. Whole blood cobalt (Co), chromium (Cr) and titanium (Ti) levels were measured at baseline in 19 and 2 years in 53. PROMs included Oxford Hip Score (OHS), HOOS-JR, and satisfaction.</p><p><strong>Results: </strong>At 2 years, 96% were satisfied or very satisfied. PASS thresholds were achieved by 85% for HOOS-JR and 87% for OHS. Mean blood levels increased from baseline to 2 years for Co 6 to 8 nmol/L (<i>p</i> = 0.348), Cr 10 to 11 nmol/L (<i>p</i> = 0.824) and Ti 44 to 86 nmol/L (<i>p</i> = 0.001). Elevated levels (>1.0 µg/L) were observed for Co 7.5%, Cr 1.8%; and Ti >5 µg/L in 9 (17%), but were well below thresholds associated with significant prosthetic wear.</p><p><strong>Conclusions: </strong>The Trinity modular DM system demonstrated excellent 2-year clinical outcomes and acceptable low blood metal ion levels. Baseline and periodic 5-year metal ion surveillance is recommended after modular DM THA.ANZCTR Clinical Trial No:ACTRN12622000003774.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261474376"},"PeriodicalIF":1.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total hip arthroplasty after hip arthrodesis: functional outcomes, and mid-term survivorship integrating the fusion technique complexity score.","authors":"Mahmoud Fahmy, Mohamed Abo-Elsoud, Mostafa Ahmed Shawky","doi":"10.1177/11207000261474451","DOIUrl":"https://doi.org/10.1177/11207000261474451","url":null,"abstract":"<p><strong>Background: </strong>Conversion of hip arthrodesis to total hip arthroplasty (THA) is technically demanding because of altered anatomy, soft-tissue contractures, and long-standing biomechanical adaptations. Preoperative complexity varies widely, and contemporary data on functional recovery and complications remain limited. This study evaluates functional and radiographic outcomes after conversion THA and introduces a Fusion-to-THA Surgical Complexity Score (FTCS) to characterise preoperative difficulty and explore its association with perioperative outcomes.</p><p><strong>Patients and methods: </strong>We retrospectively reviewed 23 consecutive patients (16 males, 7 females; mean age 52 ± 12 years) who underwent conversion THA between 2014 and 2020, after a mean fusion duration of 22 ± 7 years. All procedures were performed through a posterior approach using cementless dual-mobility acetabular components and individualised femoral fixation. The FTCS incorporated fusion duration, soft-tissue contractures, retained hardware, leg-length discrepancy, abductor status, and acetabular distortion. Outcomes included Harris Hip Score (HHS), hip range of motion, gait, leg-length discrepancy, knee pain, and radiographic assessment using Engh and DeLee-Charnley criteria. Correlations between FTCS and perioperative parameters were analysed.</p><p><strong>Results: </strong>At a mean follow-up of 6.2 years, HHS improved from 42 ± 8 to 82 ± 10 (<i>p</i> < 0.001). Mean hip flexion reached 85° ± 15°, gait normalised in 20 patients, and leg-length discrepancy was corrected in 21. Knee pain decreased significantly and correlated with leg-length correction (r = 0.52, <i>p</i> = 0.004). Higher FTCS values were associated with longer operative time and increased blood loss, representing exploratory associations within this cohort. Radiographs showed stable fixation and reliable osteointegration (mean Engh score 7.8 ± 1.2). 1 femoral stem revision and minor complications occurred, with no infections or permanent nerve injuries.</p><p><strong>Conclusions: </strong>Conversion THA after hip arthrodesis yields substantial functional recovery and durable mid-term implant stability. The FTCS represents an exploratory descriptive framework to characterise preoperative complexity; however, its clinical applicability requires further validation in larger cohorts.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261474451"},"PeriodicalIF":1.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative GLP-1 receptor agonist use and outcomes after total hip arthroplasty: a matched cohort study.","authors":"Abdel R Diab, Tony H W Chang, Omar Diab, Michael M Kheir","doi":"10.1177/11207000261476202","DOIUrl":"https://doi.org/10.1177/11207000261476202","url":null,"abstract":"<p><strong>Background: </strong>Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are increasingly prescribed among total hip arthroplasty (THA) candidates, yet their perioperative impact remains unclear.</p><p><strong>Methods: </strong>Using TriNetX, we identified adults undergoing primary THA (2003-2023) with preoperative GLP-1 RA exposure (⩾3 prescriptions within 1 year of surgery) versus controls. 1:1 propensity score matching for demographics, comorbidities, and baseline labs yielded 1262 patients per cohort. Outcomes included 90-day medical complications and mechanical complications (PJI, dislocation, aseptic loosening, periprosthetic fracture, all-cause revision) at 1, 2, and 5 years, reported in accordance with the STROBE guidelines.</p><p><strong>Results: </strong>At 90 days, the GLP-1 RA cohort demonstrated significantly lower risks of DVT (1.6% vs. 3.0%; RR 0.53, 95% CI, 0.31-0.89; <i>p</i> = 0.014) and hospital readmission (1.1% vs. 2.8%; RR 0.40, 95% CI, 0.22-0.71; <i>p</i> = 0.001). No significant differences were found in other 90-day outcomes or in mechanical complications, including all-cause revision (94.6% vs. 95.5% survival; <i>p</i> = 0.674) and PJI (94.7% vs. 94.4%; <i>p</i> = 0.465) at 5 years.</p><p><strong>Conclusions: </strong>Consistent preoperative GLP-1 RA use is associated with reduced 90-day DVT and readmission following primary THA without increased risk of other complications or mechanical outcomes at 5 years. As DVT was the only significant thromboembolic endpoint, prospective investigation is needed before attributing a thromboprophylactic effect to these agents.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261476202"},"PeriodicalIF":1.3,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous versus staged-bilateral THA using a piriformis-preserving minimally-invasive posterolateral approach.","authors":"Agustín Martínez Lotti, Victoria Barbaglia, Martin Buljubasich, Agustín Facundo Albani Forneris, Pablo Ariel Isidoro Slullitel, Martin Alejandro Buttaro","doi":"10.1177/11207000261470013","DOIUrl":"https://doi.org/10.1177/11207000261470013","url":null,"abstract":"<p><strong>Objectives: </strong>There is still debate regarding the rationale for 1-stage bilateral total hip arthroplasty (THA). We aimed to compare re-admissions, adverse events, and total length of stay in patients with simultaneous bilateral versus staged THA.</p><p><strong>Materials and methods: </strong>We identified 166 patients who underwent bilateral THA. They were matched based on sex, preoperative haemoglobin and the time interval between surgeries. A cohort of 84 simultaneous bilateral THA was compared to 82 staged bilateral THA. Median follow-up was 64.5 months.</p><p><strong>Results: </strong>Logistic regression showed that type of surgery was not associated with risk of complication. No significant differences were observed between simultaneous and staged bilateral THA in terms of short-term or long-term adverse events (OR 0.76; 95% CI, 0.31-1.85; <i>p</i> = 0.558; and OR 1.32; 95% CI, 0.27-6.42; <i>p</i> = 0.728, respectively). Similarly, surgical strategy was not associated with risk of re-admission (<i>p</i> = 0.606). Staged bilateral THA was significantly associated with total length of stay (LOS), with an average increase of 2.00 days compared to simultaneous procedures (Coefficient 2.00; 95% CI, 1.36-2.64; <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>In this matched-cohort study, single-anaesthetic bilateral THA was not associated with an increased risk of adverse events and re-admissions, suggesting it is a safe procedure, while decreasing operating room time, length of stay and anaesthesia-related risks.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261470013"},"PeriodicalIF":1.3,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The increasing burden of revision arthroplasty for infection and fracture: perspectives of a tertiary referral centre.","authors":"Thomas Robertson, Oscar Kinman, Samuel H Benveniste, Kerry Costi, Taisha D'Apollonio, Deepti Sharma, Kate Southam, Gerald Atkins, Michael Wyatt, Lucian Bogdan Solomon, Boopalan Ramasamy, Stuart A Callary","doi":"10.1177/11207000261469476","DOIUrl":"https://doi.org/10.1177/11207000261469476","url":null,"abstract":"<p><strong>Background: </strong>In public hospitals the number of complex urgent and semi-urgent revision joint replacements has increased over time, conversely the number of primary joint replacements has decreased. This study aimed to investigate the effect of this change on service delivery of elective surgery and training in one large metropolitan hospital.</p><p><strong>Methods: </strong>We retrospectively reviewed changes in staffing, workload and all hip and knee joint replacements performed at the Royal Adelaide Hospital over a 20-year period, between January 2003 to December 2023.</p><p><strong>Results: </strong>The number of primary total hip replacements (THR) and total knee replacements (TKR) performed on elective lists has decreased from 210/year to 140/year. The number of revisions THR and TKR increased from 76/year to 219/year (135 septic). The number of patients awaiting elective surgery has increased from 220 in 1999 (THR 18) to 597 in 2024 (THR 69).</p><p><strong>Conclusions: </strong>There is an urgent need of decisions by local policy makers to plan for the continual increase in THR and TKR as well as revision joint replacements. The significant change in pathology requires consideration of staffing, training and funding to account for the increased number of complex septic revisions.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261469476"},"PeriodicalIF":1.3,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing posterior, anterior, and direct superior approaches in total hip arthroplasty: a network meta-analysis.","authors":"Francisco Soler, Javier Hernandez, José María Lamo-Espinosa, Ibrahim Khalil, Gonzalo Mariscal","doi":"10.1177/11207000261426222","DOIUrl":"10.1177/11207000261426222","url":null,"abstract":"<p><strong>Purpose: </strong>To compare functional outcomes and complications between posterior approach (PA), direct anterior approach (DAA), and direct superior approach (DSA) in hip surgery.</p><p><strong>Methods: </strong>PRISMA guidelines and PICOS framework were followed. Databases searched included PubMed, Embase, Scopus, and Cochrane Library. Analysis was performed using Review Manager 5.4 to calculate odds ratios, mean differences, and standard mean differences with 95% CIs.</p><p><strong>Results: </strong>Analysis included 13 studies (972 patients). PA demonstrated significantly shorter surgery time (MD -11.92; 95% CI, -18.48--5.36). No significant differences were found in dislocation (OR 0.98; 95% CI, 0.31-3.07), periprosthetic fracture (OR 1.21; 95% CI 0.36-4.03), deep vein thrombosis (OR 3.06; 95% CI, 0.47-19.76), infection (OR 0.62; 95% CI, 0.16-2.39), or reoperation rates (OR 0.67; 95% CI 0.20-2.28). Hip function at 2-4 weeks favoured DSA over DAA (MD -4.39; 95% CI, -5.60--3.19), but showed no significant differences at 12 months (SMD -0.10; 95% CI -0.31-0.12). Pain showed no significant differences at either 2-4 weeks (MD 0.10; 95% CI -0.96-1.16) or 12 months (MD 0.07; 95% CI, -0.05-0.18).</p><p><strong>Conclusions: </strong>PA showed shorter surgery time, and DSA demonstrated better short-term functional results. No significant differences in complications, pain, or long-term functional results were found between approaches.<b>PROSPERO</b> registration CRD42024592000.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"745-755"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147528400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of hip geometrical parameters on muscle and joint biomechanics during normal gait.","authors":"Mahdie Aghasizade, Morad Karimpour, Masoud Shariat Panahi, Reyhane Rostamian, Hadi G Kashani","doi":"10.1177/11207000261447780","DOIUrl":"10.1177/11207000261447780","url":null,"abstract":"<p><strong>Background: </strong>Effective preoperative planning is essential for reducing pain, fatigue, and joint damage following total hip arthroplasty (THA). This study investigates the effects of key geometric parameters - neck-shaft angle (NSA), anteversion angle (AVA), and hip offset (HO) - on muscle mechanics and joint reaction forces during normal walking gait using musculoskeletal simulation.</p><p><strong>Methods: </strong>A MATLAB-based HO tool combined with a femoral torsion tool was used to generate 45 OpenSim models with systematic variations in NSA, AVA, and HO. All models were evaluated using identical gait kinematics and ground reaction forces to isolate the biomechanical influence of geometric changes.</p><p><strong>Results: </strong>Increases in femoral neck length and HO substantially affect muscle lever arms and joint reaction forces, with peak hip and knee joint loading and associated muscle mechanics increasing by up to approximately 2.5-fold compared to the reference model. Changes in NSA, AVA, and HO significantly altered muscle moment arms, muscle activations, and muscle forces, particularly in hip abductors and flexors. Simultaneous variation of all 3 parameters produced markedly larger effects than isolated changes.</p><p><strong>Conclusions: </strong>This study highlights the importance of considering prosthesis geometry and implantation parameters during THA planning and biomechanical modelling to optimise gait mechanics and reduce postoperative joint loading.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"808-818"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is combined gluteus maximus and tensor fascia latae transfer for irreparable hip abductor tears superior to gluteus maximus transfer alone? A systematic review and meta-analysis.","authors":"Sean C Clark, Seungjun Lee, Terence L Thomas, Mario Hevesi, Rafael J Sierra, Graham S Goh","doi":"10.1177/11207000261425168","DOIUrl":"10.1177/11207000261425168","url":null,"abstract":"<p><strong>Background: </strong>Chronic hip abductor insufficiency remains a challenging problem to treat and can result in significant disability in some patients. Tendon transfers involving the gluteus maximus (GM) or combined GM with tensor fascia latae (GM+TFL) are common options for surgical reconstruction. The purpose of this systematic review was to compare clinical outcomes, complications, and revisions rates of patients who underwent GM transfer or GM+TFL transfer for irreparable hip abductor tears.</p><p><strong>Methods: </strong>PubMed (MEDLINE), Scopus (EMBASE, MEDLINE, COMPENDEX), and Cochrane databases were used to conduct a systematic review of articles from inception to February 2025. A total of 18 studies were included (11 GM transfer, 7 GM+TFL transfer). Demographics, hip setting (native hip, primary total hip arthroplasty [THA], revision THA), patient-reported outcome measures, presence of Trendelenburg gait, abduction strength, complication rates, and revision rates were analysed.</p><p><strong>Results: </strong>A total of 207 patients (208 hips) underwent GM transfer, while 55 patients (55 hips) underwent GM+TFL transfer. Meta-analyses demonstrated that both techniques yielded significant preoperative to postoperative improvements in modified Harris Hip Scores/Harris Hip Scores and Visual Analogue Scale pain scores (<i>p</i> < 0.001). In total, 33.9% of patients who underwent GM transfer had a persistent Trendelenburg gait postoperatively, compared to 48.1% of those who underwent GM+TFL transfer. The complication rate was 16.8% (23/137) for patients who underwent GM transfer and 2.7% (1/37) for those who underwent GM+TFL transfer; while revision rates were 5.9% (9/152) and 3.6% (2/55), respectively.</p><p><strong>Conclusions: </strong>Both GM and GM+TFL transfers yielded comparable outcomes in patients with chronic hip abductor insufficiency not amendable to primary repair. The complication rate was substantially higher in patients who underwent GM transfer, whereas revision rates were comparably low for both techniques. In particular, a sizeable proportion of patients continued to exhibit a persistent Trendelenburg gait postoperatively following both surgical techniques, highlighting the complexity of this pathology.PROSPERO registration number:CRD420251002466.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"799-807"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}