Endoscopic Gluteus Medius Repair With Concomitant Arthroscopy for Labral Tears: A Case Series With Minimum 5-Year Outcomes

Perets, Itay; Mansor, Yosif; Yuen, Leslie C.; Chen, Austin W.; Chaharbakhshi, Edwin O.; Domb, Benjamin G.

doi:10.1016/j.arthro.2017.06.032

Cited by 46 publications

(38 citation statements)

References 32 publications

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“…Although literature on the outcomes of endoscopic gluteal repairs is limited to small series and short-term follow-up periods, the procedure has been shown to produce positive results. 17 , 36 Chandrasekaran et al 6 evaluated the outcomes of endoscopic GM repair along with correction of intra-articular pathology in 34 patients with minimum 2-year follow-up. Those investigators noted significant improvement in PRO scores and a high satisfaction rating of 8.5.…”

Section: Discussionmentioning

confidence: 99%

“…Both techniques have been described in the literature with good and comparable patient outcomes. 6 , 34 , 36 Classically, the open surgical approach was predominantly used because it allows for full visualization of the footprint as well as accessibility and easy preparation of the bony surfaces for fixation of the tendon. Nevertheless, technological advancements have allowed for the steady increase in a minimally invasive endoscopic approach to GM repairs.…”

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confidence: 99%

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Full-Thickness Gluteus Medius Tears With or Without Concomitant Hip Arthroscopy: Minimum 2-Year Outcomes Using an Open Approach and Contemporary Tendon Repair Techniques

Maldonado

Annin

Chen

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Gluteus medius (GM) tears are a well-established source of pain and disability. An open approach has been recognized with complete full-thickness and large GM tears, yet the current literature provides few reports on outcomes for this specific situation. Purpose: To report and analyze minimum 2-year patient-reported outcomes (PROs) from patients who underwent open GM repair in the setting of a full-thickness tear with or without concomitant hip arthroscopy through use of contemporary tendon repair techniques. Study Design: Case series; Level of evidence, 4. Methods: Prospectively collected data were retrospectively reviewed for patients who underwent hip preservation surgery and total hip arthroplasty (THA) between April 2008 and May 2017. Patients were included in this study if they underwent open repair of GM full-thickness tears. The exclusion criteria were incomplete follow-up, workers’ compensation status, repair regarding size and pattern of the GM, open repair of partial GM tear, open repair with allograft or autograft augmentation, and/or additional gluteus maximus transfer. Pre- and postoperative PROs for the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score Sport-Specific Subscale (HOS-SSS), and visual analog scale (VAS) score for pain and satisfaction were recorded. Statistical significance was set at P < .05. Results: A total of 36 patients were included, of whom 12 received concomitant hip arthroscopy for intra-articular procedures. The mean ± SD age, body mass index, and follow-up time were 65.18 ± 12.69 years, 28.97 ± 4.95 kg/m2, and 40.8 ± 26.19 months, respectively. At minimum 2-year follow-up, the following outcome measures improved significantly: mHHS (from 54.72 ± 15.89 to 73.12 ± 19.47; P < .0001), NAHS (from 56.05 ± 12.47 to 75.22 ± 19.15; P < .0001); HOS-SSS (from 20.30 ± 20.21 to 44.23 ± 35.85; P < .0001), and VAS (from 4.95 ± 2.70 to 2.67 ± 2.81; P < .0001). There was 1 (2.8%) conversion to THA at 48 months after the index procedure. Conclusion: Patients who underwent open repairs in the setting of full-thickness GM tears via contemporary tendon repair techniques, with or without concomitant hip arthroscopy, achieved favorable results in several PRO scores at minimum 2-year follow-up.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Full-Thickness Gluteus Medius Tears With or Without Concomitant Hip Arthroscopy: Minimum 2-Year Outcomes Using an Open Approach and Contemporary Tendon Repair Techniques

Maldonado

Annin

Chen

et al. 2020

Orthopaedic Journal of Sports Medicine

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“…In the case of partial or full-thickness tears, open repair and endoscopic techniques have been well described with good outcomes. [4][5][6][7][8][9][10][11] This Technical Note details our technique for endoscopic repair of proximal hamstring avulsion injuries. Table 1 outlines the advantages and disadvantages of our technique and Table 2 lists salient pearls and pitfalls.…”

Section: Discussionmentioning

confidence: 99%

“…Good-to-excellent functional results have been described for primary repair with open or endoscopic techniques for partial-or full-thickness tears with minimal muscle atrophy. [4][5][6][7][8][9][10][11] Gluteus maximus muscle transfer also has been used for abductor tendon tears with advanced muscle atrophy, and this technique also has been done occasionally with the addition of the tensor fascia lata. 12,13 Technical descriptions for repair of abductor tendon tear with severe tendon loss is lacking.…”

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confidence: 99%

Superior Gluteal Reconstruction for Severe Hip Abductor Deficiency

Suppauksorn

Nwachukwu

Beck

et al. 2019

Arthroscopy Techniques

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Abductor tendon tears are one of the common causes of recalcitrant laterally based hip pain and dysfunction. In most cases, abductor tendon tears are associated with chronic nontraumatic tearing of the gluteus medius tendon. Restoring abductor function of the hip by primary repair of the gluteus medius tendon has been reported to have good and excellent outcomes. However, primary repair might not be as effective for chronic detachment of the gluteus medius tendon with a wide separation from the femoral footprint or severe tendon loss. The lack of tendinous foot for repair and the intrinsically degenerative condition of the tendon may create high tension at the repair site thereby predisposing to surgical failure. We believe that the use of soft-tissue allograft from the Achilles tendon or human dermal allograft may help strengthen the surgical site. We describe a superior gluteal reconstruction technique that is suitable for cases with abductor tendon tear with severe tendon loss.

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“…T he article "Endoscopic Gluteus Medius Repair With Concomitant Arthroscopy for Labral Tears: A Case Series With Minimum Five Year Outcomes," by Perets, Mansor, Yuen, Chen, Chaharbakhshi, and Domb 1 is a well-done 5-year minimum outcome on gluteus medius repair in both partial and complete subtypes presenting with treatment to intra-articular and extraarticular pathology. Domb et al 2 were the first to recognize and publish on the importance of partial thickness tears providing a historic insight into the diagnosis and treatment of this condition.…”

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confidence: 99%

Editorial Commentary: Pioneering the Gluteal Interval: Understanding and Treating Undersurface and Full-Thickness Gluteus Medius Tears of the Hip

Martin¹

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Lateral-based hip disease is severely impairing for many patients. Treatment decision making requires a thorough understanding of the biomechanical and clinical interpretation of the physical examination. The outcomes of these under-recognized pathologies are explained with success. A recent study has described the diagnostic and surgical treatment outcomes of this impairing condition of partial and full-thickness gluteus medius tears.

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Endoscopic Gluteus Medius Repair With Concomitant Arthroscopy for Labral Tears: A Case Series With Minimum 5-Year Outcomes

Cited by 46 publications

References 32 publications

Full-Thickness Gluteus Medius Tears With or Without Concomitant Hip Arthroscopy: Minimum 2-Year Outcomes Using an Open Approach and Contemporary Tendon Repair Techniques

Full-Thickness Gluteus Medius Tears With or Without Concomitant Hip Arthroscopy: Minimum 2-Year Outcomes Using an Open Approach and Contemporary Tendon Repair Techniques

Superior Gluteal Reconstruction for Severe Hip Abductor Deficiency

Editorial Commentary: Pioneering the Gluteal Interval: Understanding and Treating Undersurface and Full-Thickness Gluteus Medius Tears of the Hip

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