Surgical Reconstruction of Irreparable Hip Abductors With the Use of Allograft: A Systematic Review and Meta-analysis of Clinical Outcomes - PubMed
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- #allograft
- #orthopedic surgery
- #hip abductor reconstruction
- Chronic hip abductor insufficiency is a challenging condition causing significant disability.
- Allograft reconstruction is increasingly used for irreparable hip abductor tears.
- A systematic review analyzed outcomes of 76 patients (76 hips) with a mean age of 63.2 years (84.2% female).
- Mean follow-up was 23.6 months, showing improved patient-reported outcomes and abduction strength (2.7/5 to 3.9/5 postoperatively).
- Persistent Trendelenburg sign was noted in over one-third of patients postoperatively.
- Complication and revision rates were low at 5.3% and 1.3%, respectively.
- Allograft reconstruction is a salvage procedure with satisfactory outcomes for chronic hip abductor insufficiency.
- Future research should compare allograft outcomes with muscle transfer techniques.