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Case Reports
. 2023 Sep 21;13(3).
doi: 10.2106/JBJS.CC.23.00118. eCollection 2023 Jul 1.

Hip Abductor Reconstruction with the Use of Mesh and Distal Cerclage Cable Fixation: A Case Report and Surgical Technique

Nicolas S Piuzzi  1   2 , Matthew E Deren  1 , Adam Green  1 , Ahmed K Emara  1 , Ignacio Pasqualini  1 , Peter Surace  1 , John P McLaughlin  1 , Trevor G Murray  1 , Michael R Bloomfield  1 , Viktor E Krebs  1 , Robert M Molloy  1
Affiliations
Case Reports

Hip Abductor Reconstruction with the Use of Mesh and Distal Cerclage Cable Fixation: A Case Report and Surgical Technique

Nicolas S Piuzzi et al. JBJS Case Connect. .

Abstract

Case: This is a case of a 71-year-old female patient with recurrent instability and complex hip abductor deficiency after total hip arthroplasty (THA) who was treated successfully with an abductor reconstruction with gluteal transfer with mesh reconstruction. The patient returned to nonassisted ambulation with no further THA dislocations at the 1-year follow-up.

Conclusion: Abductor deficiencies after THA are complex and have a high potential for long-term disability if not properly diagnosed and treated. A modified gluteal transfer with mesh reconstruction and distal fixation with cerclage cable allowed for sustained restoration of functional hip abduction and stability after revision THA.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C208).

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