Endoscopic Gluteus Medius Repair With Concomitant Arthroscopy for Labral Tears: A Case Series With Minimum 5-Year Outcomes
Authors
Perets I, Mansor Y, Yuen LC, Chen AW, Chaharbakhshi EO, Domb BG
Journal: Arthroscopy. 2017 Dec;33(12):2159–2167
DOI: 10.1016/j.arthro.2017.06.032
Background
While gluteus medius repair has gained traction as a treatment for lateral hip pain, long-term outcomes with concurrent hip arthroscopy have not been well described.
Methods: Sixteen patients with partial- or full-thickness gluteus medius tears who underwent endoscopic repair and concomitant labral treatment were followed for ≥5 years. Exclusion criteria included advanced arthritis or prior hip pathology.
Key Findings
Fourteen patients (mean age 57.4) completed follow-up at a mean of 68.8 months. All patient-reported outcomes (mHHS, NAHS, HOS-SSS, VAS) improved significantly. iHOT-12 averaged 73.8, and satisfaction was high (mean 8.4/10). There were no complications or clinical repair failures; one patient (7.1%) required THA.
Conclusions
Endoscopic gluteus medius repair combined with arthroscopy demonstrates durable improvements in outcomes and pain relief at 5 years, with high patient satisfaction and low complication rates.
What Does This Mean for Patients
Patients with abductor tears and labral pathology may benefit from combined arthroscopic repair techniques, resulting in significant and lasting symptom improvement.