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Related Experiment Video

Updated: May 29, 2026

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Published on: October 29, 2021

Treating abductor deficiency: a transference technique.

Leo A Whiteside¹

¹Missouri Bone and Joint Research Foundation, 1000 Des Peres Rd, Ste 150, St Louis, MO 63131, USA. whiteside@whitesidebio.com

|September 10, 2011

Summary

This summary is machine-generated.

This study presents a gluteus maximus flap transfer technique to restore hip abduction after total hip arthroplasty. This surgical repair addresses muscle deficiency, improving stability and reducing limp in patients.

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Area of Science:

Orthopedic Surgery
Reconstructive Surgery

Background:

Loss of hip abduction power is a frequent complication following total hip arthroplasty (THA).
This deficit can result in significant gait abnormalities and joint instability.

Purpose of the Study:

To describe a novel surgical reconstruction technique for deficient abductor muscles and capsule after THA.
To evaluate the efficacy of a gluteus maximus flap transfer for restoring hip abduction.

Main Methods:

A gluteus maximus flap was elevated and transferred to reconstruct the deficient abductor mechanism.
The flap was sutured to the decorticated greater trochanter, and tension was adjusted with the hip in abduction.
A portion of the gluteus maximus was used to substitute for the gluteus minimus and capsule.

Main Results:

The described technique facilitates the repair of abductor muscle and capsular defects.
Postoperative rehabilitation involved protected weight-bearing and gradual abduction exercises.

Conclusions:

Gluteus maximus flap transfer is a viable surgical option for addressing post-THA abductor deficiency.
This method aims to improve hip function, stability, and reduce limping.