Achilles Tendon for the Treatment of Gluteus Medius Insufficiency
Achilles Tendon Homograft for the Treatment of Gluteus Medius Insufficiency After Hip Replacement
Sahlgrenska University Hospital
44 participants
Jun 29, 2022
INTERVENTIONAL
Conditions
Summary
Residual limping after total hip arthroplasty is a serious complication that lacks effective treatment. The purpose of this study is to evaluate a surgical treatment for residual limping and compare its results with non-surgical treatment. Our hypothesis is that surgical treatment followed by physiotherapy increases hip function and reduces limping compared with non-surgical treatment with physiotherapy alone.
Eligibility
Inclusion Criteria4
- Persisting limping with positive Trendelenburg's sign for at least 12 months after total hip arthroplasty
- Rupture/avulsion of the gluteus medius tendon verified with ultrasound or MRI
- Leg length discrepancy of less than 1 cm
- Femoral offset discrepancy of less than 25%
Exclusion Criteria1
- Neuromuscular disorders
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Interventions
Achilles tendon allograft i fixed between the gluteus medius muscle and the greater trochanter
Locations(1)
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NCT05206838