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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:

Gluteus medius repair combined with hip arthroscopy for labral tears is increasingly performed, but long-term outcomes remain unclear.

Methods:

16 patients with partial or full-thickness gluteus medius tears underwent endoscopic repair with concurrent labral treatment and were followed for ≥5 years.

Key Findings:

Significant improvements occurred in all PROs with high satisfaction (mean 8.4/10) and no repair failures or complications. One patient (7.1%) required conversion to THA.

Conclusions:

Combined endoscopic gluteus medius repair and hip arthroscopy provide durable symptom relief and functional improvement at 5 years.

What Does This Mean for Providers?

Providers treating lateral hip pain with coexisting labral pathology should consider combined endoscopic gluteus medius repair and arthroscopy as a durable, safe treatment option with high patient satisfaction.