Return to Activity After Gluteus Medius Repair in Active Patients Older Than 50 Years

Return to Activity After Gluteus Medius Repair in Active Patients Older Than 50 Years

Authors

Meghpara MB, Yelton MJ, Annin S, Rosinsky PJ, Shapira J, Maldonado DR, Lall AC, Domb BG
DOI: 10.1177/2325967120967968

Background

Gluteus medius (GM) tears cause hip dysfunction, especially in older adults. This study explores outcomes after GM repair surgery in active patients over 50 years old, assessing their return to activity and recovery after the procedure.

Methods

The study followed patients who had GM repair surgery (endoscopic or open) and were active before surgery. Outcomes were measured using various patient-reported scores, including the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), and Hip Outcome Score-Sports Specific Subscale (HOS-SSS).

Key Findings

Of 87 patients, 67.9% were able to return to their pre-surgery activity. Significant improvements were seen in all patient-reported outcome measures, including pain reduction and functional scores. The majority of patients showed good recovery and satisfaction at a 2-year follow-up.

Conclusions

Endoscopic and open GM repairs provide excellent functional outcomes, allowing most patients over 50 years old to return to their previous activities. The surgery appears highly effective for restoring hip function in this population.

What Does This Mean for Patients

If you're over 50 and have a gluteus medius tear, surgery could significantly improve your ability to return to active living, even after a tear. Most patients experience reduced pain and regain function, making this a good treatment option.