{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:35:17Z","timestamp":1769686517655,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Tendon lesions of the gluteus medius muscle require surgical repair if conservative treatment fails. Postoperatively, the success of the therapy is influenced by the loading conditions during follow\u2010up treatment. Excessive loading of the hip joint during walking after surgery \u2013 and consequently, potential overload of the repaired gluteal tendon \u2013 could jeopardize the success of the therapy. In this controlled laboratory study, six subjects performed an instrumented 3D gait analysis using optoelectronic motion capture under three different loading conditions: full weight\u2010bearing, partial weight\u2010bearing, and full unloading with crutches. Gait data were used\n                    <jats:italic>in silico<\/jats:italic>\n                    in an inverse dynamics multi\u2010body simulation to calculate tendon loading. Peak loads occurred on the gluteal tendons and the hip joint during the stance phase. The force on the gluteus medius tendon during full weight\u2010bearing amounted to\n                    <jats:italic>F<\/jats:italic>\n                    <jats:sub>\n                      <jats:italic>me<\/jats:italic>\n                    <\/jats:sub>\n                    \u2009=\u200912.0 (\u2009\u00b1\u20091.5) N\/kg BW, while the force on the gluteus minimus tendon was\n                    <jats:italic>F<\/jats:italic>\n                    <jats:sub>\n                      <jats:italic>mi<\/jats:italic>\n                    <\/jats:sub>\n                    \u2009=\u20095.0 (\u2009\u00b1\u20091.6) N\/kg BW. Partial weight\u2010bearing reduced these loads by \u2248 68%, whereas full unloading led to a\u2009\u2248\u200988% reduction compared to full weight\u2010bearing. In the hip joint, the average maximum load during full weight\u2010bearing reached\n                    <jats:italic>F<\/jats:italic>\n                    <jats:sub>\n                      <jats:italic>H<\/jats:italic>\n                    <\/jats:sub>\n                    \u2009=\u200939.8 (\u2009\u00b1\u20096.7) N\/kg BW. To prevent muscle atrophy after gluteal tendon repair, the highest possible load should be applied without compromising suture integrity. Full unloading should be implemented if the tendon and\/or bone integrity is compromised and suture stability is reduced. However, if stability is sufficient, partial weight\u2010bearing is recommended.\n                  <\/jats:p>","DOI":"10.1002\/jor.70107","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T13:05:16Z","timestamp":1765631116000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Load Management After Gluteal Tendon Repair: A Controlled Laboratory Study"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1755-2667","authenticated-orcid":false,"given":"Alexander","family":"Derksen","sequence":"first","affiliation":[{"name":"Hannover Medical School, Department of Orthopaedic Surgery DIAKOVERE Annastift Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celina","family":"Wicke","sequence":"additional","affiliation":[{"name":"Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery DIAKOVERE Annastift Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3356-9207","authenticated-orcid":false,"given":"Eike","family":"Jakubowitz","sequence":"additional","affiliation":[{"name":"Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery DIAKOVERE Annastift Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Budde","sequence":"additional","affiliation":[{"name":"Hannover Medical School, Department of Orthopaedic Surgery DIAKOVERE Annastift Hannover Germany"},{"name":"Evangelisches Klinikum Bethel Universit\u00e4tsklinikum OWL der Universit\u00e4t Bielefeld Bielefeld Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christof","family":"Hurschler","sequence":"additional","affiliation":[{"name":"Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery DIAKOVERE Annastift Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henning","family":"Windhagen","sequence":"additional","affiliation":[{"name":"Hannover Medical School, Department of Orthopaedic Surgery DIAKOVERE Annastift Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5059-8029","authenticated-orcid":false,"given":"Michael","family":"Schwarze","sequence":"additional","affiliation":[{"name":"Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery DIAKOVERE Annastift Hannover Germany"},{"name":"Department for Medical Technology Hochschule Bremerhaven Bremerhaven 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