Mid-Term Outcomes of Endoscopic Gluteus Medius Repair With Concomitant Arthroscopic Labral Treatment: A Propensity-Matched Controlled Study

Meghpara, Mitchell B.; Yelton, Mitchell J.; Annin, Shawn; Shapira, Jacob; Rosinsky, Philip J.; Maldonado, David R.; Lall, Ajay C.; Domb, Benjamin G.

doi:10.1016/j.arthro.2020.07.020

Cited by 18 publications

(19 citation statements)

References 43 publications

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“…4,5 Recently, sustained survivorship and benefit were shown at minimum 5year follow-up after endoscopic GM repair along with at least a labral repair. 6 The purpose of this study was to report on clinical presentations and outcomes in patients who underwent an isolated endoscopic GM repair. We hypothesized that patients would have favorable outcomes and minimal complications when treated in this fashion.…”

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confidence: 99%

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Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up

Meghpara

Yelton

Glein

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To report on clinical presentations and outcomes in patients who underwent an isolated endoscopic gluteus medius (GM) repair. Methods: We retrospectively reviewed and prospectively collected data on patients who underwent a primary isolated endoscopic GM repair. Patients were included if the following patient-reported outcome scores were obtained preoperatively and at minimum 2-year follow-up: modified Harris Hip Score (mHHS), Non-arthritic Hip Score (NAHS), and visual analog scale (VAS) score. The minimal clinically important difference (MCID) for the mHHS, NAHS, and Hip Outcome ScoreeSports Specific Scale was uniquely calculated for this study. Patients who underwent concomitant procedures including hip arthroplasty and hip arthroscopy were excluded. Results: A total of 26 hips met all inclusion and exclusion criteria, of which 23 hips (88.5%) (22 patients) had a minimum 2-year follow-up. Nineteen hips had a partialthickness GM tear; 17 (89.5%) were high-grade partial-thickness tears treated with a side-to-side repair through a transtendinous window. Four full-thickness tears with no retraction or fatty infiltration were able to be repaired endoscopically. The mHHS, NAHS, and VAS score all significantly improved (P < .05) from baseline: The mHHS improved from 55.9 to 75.4 (P ¼ .005); the NAHS, from 58.8 to 79.2 (P ¼ .003); and the VAS score, from 5.9 to 3.6 (P ¼ .009). The MCID was calculated for the mHHS, NAHS, and Hip Outcome ScoreeSports Specific Scale as 5.8, 7.1, and 11.0, respectively. Most patients achieved the MCID for all 3 patient-reported outcome scores. Conclusions: Appropriately selected patients without concomitant intra-articular hip pathology may achieve successful outcomes at a minimum 2-year follow-up after an isolated endoscopic GM repair. Most isolated endoscopic GM repairs were performed for partial-thickness GM tears. Level of Evidence: Level IV, case-series study.G luteus medius (GM) tears typically present with lateral hip pain, abductor weakness, and gait abnormalities in women older than 50 years. 1 When left untreated, GM tears can cause significant dysfunction and impairment of activities of daily living. Voos et al. 2 initially described endoscopic GM repair with successful outcomes in 10 patients after a shortterm mean follow-up period of 25 months. 3 In this study, all 10 patients also underwent concomitant intraarticular treatment. Subsequent studies have shown

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confidence: 99%

“… 4 , 5 Recently, sustained survivorship and benefit were shown at minimum 5-year follow-up after endoscopic GM repair along with at least a labral repair. 6 …”

mentioning

confidence: 99%

Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up

Meghpara

Yelton

Glein

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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“…Furthermore, when patients with GM repair were propensity-matched (age, body mass index, sex, labral treatment, acetabular, and femoral head Outerbridge grade) to a group with only arthroscopic labral treatment, and mid-term results were reported to be similar. 3 …”

Section: Discussionmentioning

confidence: 99%

“…If a patient failed all nonoperative measures, the senior author recommended them for surgery The surgical technique for hip arthroscopy, endoscopic GM repair, and rehabilitation protocol have been described in prior publications. 3 , 17 , 18 , 19 , 20 …”

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confidence: 99%

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Maximal Outcome Improvement Willingness Thresholds Are Predictive of a Patient’s Willingness to Undergo the Same Surgery, in Retrospect, Given the Known Outcome of Their Primary Hip Arthroscopy

Maldonado

Fox

Kyin

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

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Endoscopy of Peritrochanteric Space for Greater Trochanteric Pain Syndrome (GTPS)

Lui¹,

Li²,

Tang³

et al. 2021

Endoscopy of the Hip and Knee

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Mid-Term Outcomes of Endoscopic Gluteus Medius Repair With Concomitant Arthroscopic Labral Treatment: A Propensity-Matched Controlled Study

Cited by 18 publications

References 43 publications

Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up

Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up

Maximal Outcome Improvement Willingness Thresholds Are Predictive of a Patient’s Willingness to Undergo the Same Surgery, in Retrospect, Given the Known Outcome of Their Primary Hip Arthroscopy

Endoscopy of Peritrochanteric Space for Greater Trochanteric Pain Syndrome (GTPS)

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