RECRUITINGINTERVENTIONAL
Achilles Tendon for the Treatment of Gluteus Medius Insufficiency
Achilles Tendon Homograft for the Treatment of Gluteus Medius Insufficiency After Hip Replacement
About This Trial
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.
Who May Be Eligible (Plain English)
Who May Qualify:
- 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%
Who Should NOT Join This Trial:
- Neuromuscular disorders
Always talk to your doctor about whether this trial is right for you.
Original Eligibility Criteria
View original clinical language
Inclusion Criteria:
* 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 Criteria:
* Neuromuscular disorders
Treatments Being Tested
PROCEDURE
Surgical reconstruction of gluteus medius with Achilles tendon allograft
Achilles tendon allograft i fixed between the gluteus medius muscle and the greater trochanter
Locations (1)
Sahlgrenska University Hospital
Mölndal, Sweden