Outcomes After Primary Open or Endoscopic Abductor Tendon Repair in the Hip: A Systematic Review of the Literature

Endoscopic Gluteus Medius Repair Augmented With Bioinductive Implant

“…1,3,4,7 Meta-analyses of the existing case series have shown that endoscopic repair leads to similar improvement in pain and function, albeit with fewer complications compared with open techniques. 3,4 Thus, endoscopic repair has become the favored method.…”

“…Open and endoscopic repair approaches have been described, with studies indicating equal symptomatic relief, and fewer postoperative complications for endoscopic techniques. 3,4 An emerging option to augment tendon healing is the use of a bioinductive implant. 3,4 Bovine Achilles tendon is used to construct the implant as it is an abundant source of type I collagen containing minimal of the unwanted impurities (e.g., hair follicles, elastin) commonly found in the dermisdthis enables a more pure construct.…”

“…3,4 An emerging option to augment tendon healing is the use of a bioinductive implant. 3,4 Bovine Achilles tendon is used to construct the implant as it is an abundant source of type I collagen containing minimal of the unwanted impurities (e.g., hair follicles, elastin) commonly found in the dermisdthis enables a more pure construct. Because the implant is not intended to provide immediate strength, the source tissue can be broken down to the collagen fiber level, and then reconstituted into a highly porous structure designed to induce formation of new tendinous tissue.…”

Hip Abductor Tendinopathy: Work-Up and Open Versus Arthroscopic Repair of Hip Abductor

“…Early surgical repair should be considered before the onset of fatty muscular atrophy [16]. Open surgical repair has been the classic technique for treating abductor tendon tears since Kagan et al [4,17] published the first case series of open repairs for GTPS in 1999.…”

“…Failure of conservative therapy, in many cases, can be attributable to tears in the abductors sometimes necessitating surgical intervention. Both arthroscopic and open repairs of the abductors have been shown to be effective treatments if conservative measures fail [1][2][3][4]. a traumatic event and in such cases history of such an event is helpful in categorizing the tear in this first group [16,17].…”