EP8.47 Rehabilitation After Gluteus Maximus Transfer for Irreparable Hip Abductor Deficiency in a 54-Year-Old Female: A Case Study of Functional Recovery

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ID: 331177
2026
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Abstract
Abstract Gluteus maximus transfer (GMT) is an uncommon yet valuable surgical option for patients with irreparable hip abductor deficiency, which often occurs as a complication after hip arthroplasty, following traumatic injury, or due to chronic abductor tendon rupture. Although high levels of patient satisfaction have been reported following GMT, there remains a lack of high quality evidence detailing the postoperative rehabilitation protocols and exercise progressions utilized. Rehabilitation for this population is complex due to altered biomechanics, the initial protection requirements of the transferred tissue, and the necessity of restoring functional gait and mobility. These challenges are further compounded by the limited availability of evidence supported guidelines to assist clinicians in developing and progressing appropriate rehabilitation programs. This case study outlines a comprehensive postoperative rehabilitation approach, including postoperative precautions, phased exercise progression, observed recovery patterns, and functional outcomes, in a 54-year-old female who underwent gluteus medius tendon repair with GMT. The intervention addressed severe pain and functional limitations caused by a displaced greater trochanteric fracture with complete gluteus medius tendon rupture and significant fatty muscle atrophy, necessitating a gluteus maximus transfer due to delayed management of the injury following a traumatic fall during recovery from primary total hip arthroplasty
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Authors Dave Kohlrieser, Thomas J. Ellis
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.427
URL
https://doi.org/10.1093/jhps/hnag043.427
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