For extensive gluteus medius tears and exposed bone on the side of the hip, we relocate a part of the gluteus maximus to cover the trochanter again. The procedure reduces pain and often improves the gait pattern.
What is a gluteus maximus transfer?
In cases of extensive gluteus medius tears (lateral hip muscle) and a denuded greater trochanter (side of the upper leg), a gluteus maximus transfer can be performed. This is sometimes observed in individuals who have undergone surgery on the side of the hip. The lateral hip muscles consequently diminish in volume, exposing the underlying bone of the upper leg.
The purpose of this operation is to re-cover the bone of the greater trochanter, making sitting and lying down more tolerable. It is a pain-relieving operation but does not always improve function. In 2020, Prof. Dr. Corten published a study demonstrating that this operation provided significant improvement. Patients were not pain-free, but significantly better than before the operation. 44% of patients no longer had a waddling gait. 44% were able to bear weight effectively on one leg again, without pelvic drop.
How is a gluteus maximus transfer performed?
- You will be placed under general anaesthesia. During the operation, you will lie on your unaffected side.
- Through an incision on the side of your hip, the greater trochanter is exposed.
- The surgeon transfers a portion of the gluteus maximus and attaches it to the side of the upper leg with several anchors.
- The wound is closed with sutures and wound adhesive.
- You will stay in the hospital for 2 nights.
Our HipCloud application guides and monitors the pre- and post-operative process.
What can you expect after the operation?
- For the first 6 weeks, the repaired tissue needs to heal and integrate. You will use crutches during this period. You may bear partial to no weight during this time, depending on the complexity of the operation.
- After the follow-up consultation at 6 weeks, rehabilitation with your physiotherapist will begin. You can gradually increase weight-bearing.
- Full recovery can take 6 to 12 months.
Our approach
At the European Hip Center, we combine advanced surgical techniques with personalised care. HipCloud, our digital platform, plays a crucial role in this:
- Before the operation: preparation with education and guidance.
- After the operation: monitoring your recovery and supporting rehabilitation.
This approach ensures a faster and safer recovery, tailored to your personal situation.
Frequently asked questions
A question about this procedure?
Schedule a consultation. We will discuss together whether this treatment is the right choice for your situation.