Outcomes of Open Versus Endoscopic Repair of Abductor Muscle Tears of the Hip: A Systematic Review
Authors: Chandrasekaran S, Lodhia P, Gui C, Vemula SP, Martin TJ, Domb BG
DOI: 10.1016/j.arthro.2015.03.042
Purpose:
To compare clinical outcomes and complications after open versus endoscopic repair of gluteus medius and minimus tears.
Methods:
- Systematic review including 7 studies (127 open repairs, 40 endoscopic).
- Outcomes assessed: patient-reported scores, strength, pain, satisfaction, complications.
Key Findings:
- Similar improvements in hip scores, strength, and pain at 1- and 2-year follow-up between groups.
- Endoscopic repairs frequently addressed concomitant intra-articular pathology.
- Open repairs had a higher reported complication rate.
What Does This Mean for Providers?
- Both open and endoscopic repairs are effective for abductor tendon tears.
- Endoscopic repair may offer fewer complications and allow simultaneous treatment of intra-articular pathology.
- When feasible, consider endoscopic repair as a minimally invasive alternative.
- Larger, randomized studies needed to establish definitive superiority.