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• W2103977610 abstract "Abductor insufficiency of the hip remains a difficult problem in orthopedic surgery. Although a variety of procedures have been described, abductor function cannot be satisfactorily restored. Because of the location and innervation of the vastus lateralis muscle, its transfer might provide a promising alternative to replacing dysfunctional hip abductors. Physiological cross-sectional area, muscle fiber length, and time of action during the gait cycle are all similar to the gluteus medius muscle. To investigate the potential usefulness of the vastus lateralis muscle for treating abductor dysfunction of the hip, we dissected 15 thighs, 6 of them after arterial injection with colored latex to further study the vascular supply. The vastus lateralis was found to be vascularized from branches of the lateral femoral circumflex artery in all specimens. In 14 cases, we found a dual innervation from the femoral nerve. The vastus lateralis muscle could be completely mobilized on its neurovascular pedicle and rotated 180° without difficulty. This allowed firm suture fixation to both the iliac crest and the greater trochanter. Clinically, the technique was used in 5 patients. In 2 patients with unfavorable biomechanics, the results were not satisfactorily. In the other 3 patients with normal biomechanics, the clinical results were satisfying. Based on our clinical experience, we feel that this transfer should be reserved for patients with an abductor-deficient hip, considerable associated functional loss, and few other reconstructive options. In the appropriately selected patient, this transfer can restore some of the abductor function." @default.
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• W2103977610 date "2004-04-01" @default.
• W2103977610 modified "2023-09-27" @default.
• W2103977610 title "Rotational transfer of the vastus lateralis muscle for the treatment of the abductor deficient hip: a cadaveric feasibility study and initial clinical experience" @default.
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• W2103977610 doi "https://doi.org/10.1053/j.oto.2004.04.002" @default.
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