Full-Thickness Gluteus Medius Tears With or Without Concomitant Hip Arthroscopy: Minimum 2-Year Outcomes Using an Open Approach and Contemporary Tendon Repair Techniques

Full-Thickness Gluteus Medius Tears With or Without Concomitant Hip Arthroscopy: Minimum 2-Year Outcomes Using an Open Approach and Contemporary Tendon Repair Techniques

Authors: Maldonado DR, Annin S, Chen JW, Rosinsky PJ, Shapira J, Lall AC, Domb BG

DOI: 10.1177/2325967120929330

Background:

Full-thickness gluteus medius (GM) tears cause hip pain and disability. Open repair is sometimes needed, especially when combined with hip arthroscopy.

Methods:

Outcomes of patients undergoing open GM repair—with or without concomitant hip arthroscopy—were assessed over at least 2 years, focusing on pain, function, and satisfaction.

Key Findings:

• Significant improvements in hip function and pain relief were achieved.
• Patients had marked gains in daily activities and overall satisfaction.

Conclusions:

Open repair of full-thickness GM tears leads to favorable long-term outcomes, even when combined with other hip procedures.

What Does This Mean for Providers?

Open repair remains a reliable and effective surgical option for full-thickness GM tears, especially in complex cases requiring concomitant hip arthroscopy. Providers should consider this approach to optimize patient outcomes in those with severe GM pathology.