Does tenodesis of tensor fascia latae with hip abductors after proximal femoral resection and modular endoprosthetic reconstruction lead to functional improvements?

ABSTRACT:

Purpose

Trendelenburg gait is a common consequence of proximal femoral oncologic resection. To mitigate limping, tensor fascia latae (TFL) tenodesis is employed by suturing the muscle to the abductor mechanism, repaired to the trochanteric portion of the endoprosthesis. Objective functional evaluation of this technique has not been conducted. This study aimed to determine (1) whether the procedure induces tensor fascia latae hypertrophy, (2) its impact on functional outcomes and (3) its effect on gait patterns.

Methods

Sixteen patients who underwent proximal femoral resection and modular endoprosthesis reconstruction were assessed via computed tomography scans at least 1 year post-operatively for TFL and hip abductor hypertrophy and fatty infiltration. Patients were separate

SUBMITTER: Lavoie-Hudon A 

PROVIDER: S-EPMC12682228 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature