This Saturday, September 28, Dr. Ribas, together with Dr. Paolo Esopi and Dr. Sílvia, carry out, in the Dolo Hospital – Venice, a gluteus maximus transfer intervention.
What is a muscle transfer for? One of the causes of the instability of a hip prosthesis may be due to the lack of musculotendinous support of the pelvitrocating muscles and especially the middle and lower gluteus (see the update on the conference given by Dr. Ribas in the Society Hip Italian from last week in Bergamo). The absence of correctly functioning pelvitrocantereos is an invalidating situation for the patient, who is even forced to wander with one or two crutches.
This insufficiency can occur for different reasons. During the last decades, multiple techniques have been used and described to replace and / or strengthen the pelitrochanteric muscles of the hip, which go from tendon transplantation, muscle transposition with microsurgical techniques to the application of human or artificial collagen mesh-plates .
In the last two decades, the technique of transfer of the proximal third of the gluteus maximus muscle, with its prolongation of Fascia Lata acting as a tendon (fixed to the greater trochanter of the ugly) described by Professor Dr Leo Whiteside of the USA, has represented a solution biological that alleviates this pathology with clinical-functional results.
The hip unit has been doing this intervention in very specific cases for more than fifteen years.