Rekonstruktion des Gluteus medius
Operationstechnik
Much like the muscles of the rotator cuff, the gluteus medius is susceptible to partial and full-thickness tears, resulting in lateral hip pain or weakness for many patients. For patients that fail non-operative treatment, open or endoscopic surgery can be performed to repair the torn tendon. Repair of the torn gluteus medius tendon has been shown to improve Harris Hip Scores by up to 66%.1
The gluteus medius tendon can be repaired in a variety of ways depending on the severity of the tear. Partial-thickness tears can be addressed by inserting suture anchors transtendinously, preserving intact tendon fibers. While full-thickness tears can be addressed using suture anchors similarly to a full-thickness rotator cuff tear, an allograft patch may be necessary to augment the repair in cases of poor tissue quality. An allograft augmentation can provide structural stability and biologic healing factors to aid in tendon healing.2
Product
Y-Knot® RC all Suture Anchor
- Soft: All-suture anchors
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Small: Minimal footprint for better potential healing
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Simple: Self-punching Y-Knot RC
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Secure: 360 degree FormFit™ Fixation
Allopatch HD®
- Minimally processed
- Minimal prep time
- Stronger than synthetics and xenografts3
Clinical Resources
- Chandrasekaran S, et al. Outcomes of Open Versus Endoscopic Repair of Abductor Muscle Tears of the Hip: A Systematic Review. Arthroscopy 2015;25:2057-2067
- ishkin-Paset JG, et al. A Biomechanical Comparison of Repair Techniques for Complete Gluteus Medius Tears. Arthroscopy 2012;28:1410-1416
- Domb DG, Nasser RM, Botser IB. Partial-Thickness Tears of the Gluteus Medius: Rationale and Technique for Trans-Tendinous Endoscopic Repair. Arthroscopy 2010;26:1697-1705
Interested in Deformity Correction Surgical Techniques?
1 Chandrasekaran S, et al. Outcomes of Open Versus Endoscopic Repair of Abductor Muscle Tears of the Hip: A Systematic Review. Arthroscopy 2015;25:2057-2067
2 Valentin JE, Badylak JS et. al., Extracellular Matrix Bioscaffolds for Orthopaedic Applications, JBJS. 2006; 88:2673-2686.
Dieses Material enthält Informationen zur Verwendung von CONMED Medizinprodukten und Instrumenten bei chirurgischen Eingriffen. Obwohl es von Ärzten geprüft wurde, ist es nicht als medizinische Beratung zu verstehen. Der Operateur muss stets im eigenen fachlichen Ermessen über die Verwendung zur Behandlung eines bestimmten Patienten entscheiden. Der Operateur muss vor der Operation eine Ausbildung zur Verwendung besagter Produkte erhalten haben und vor der Verwendung jeglicher Medizinprodukte stets die Produktdokumentation einschließlich der Gebrauchsanweisung beachten.
ISHA - International Society for Hip Arthroscopy
12. - 14. Okt., 2017
Santiago,
Chile