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Related Experiment Video

Updated: May 29, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Hip abductor re-attachment audited using a wire marker.

Gulraj Matharu1, Andrew Thomas, Paul Pynsent

  • 1Research and Teaching Centre, Royal Orthopaedic Hospital, Northfield, Birmingham B31 2AP, United Kingdom. gsm@doctors.org.uk

Acta Orthopaedica Belgica
|September 30, 2011
PubMed
Summary
This summary is machine-generated.

A braided wire suture marker effectively assesses hip abductor repair integrity after surgery. Most repairs remained intact, and failure did not significantly affect patient functional outcomes.

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering

Background:

  • Direct lateral approaches for total hip arthroplasty require robust abductor muscle repair.
  • Assessing the long-term integrity of these repairs is crucial for functional outcomes.

Purpose of the Study:

  • To evaluate the utility of a braided wire suture marker in assessing hip abductor repair integrity following direct lateral total hip arthroplasty.
  • To determine the impact of abductor repair failure on functional outcomes.

Main Methods:

  • A braided wire suture marker was incorporated into hip abductor repairs during total hip arthroplasty.
  • Radiographs were used to measure suture marker movement, indicating repair integrity.
  • Oxford hip scores were prospectively collected to assess functional outcomes.

Main Results:

  • Eleven percent of abductor repairs detached; 89% remained intact or showed minimal movement.
  • No significant association was found between suture marker movement and pre-operative, post-operative, or changes in Oxford hip scores.
  • Abductor repair failure did not significantly impact functional outcomes as measured by the Oxford hip score.

Conclusions:

  • Braided wire suture markers offer a simple and informative method for assessing hip abductor repair integrity on standard follow-up radiographs.
  • Abductor repair integrity, as assessed by this method, may not be a primary determinant of functional outcome after total hip arthroplasty via direct lateral approach.