AANA Hip Arthroscopy - September 2024-Debate_ Endoscopic Gluteal Repair with Allograft Augmentation

Debate_ Endoscopic Gluteal Repair with Allograft Augmentation

Video Transcription

Video Summary

Dr. Noah discusses endoscopic versus open gluteal tendon repair, advocating for an endoscopic approach due to lower morbidity and comparable outcomes. He highlights the importance of new surgical portals aligned with the femur and splitting the IT band, which improves visualization and outcomes, lowering retear rates. The technique involves precise anchor placement and suture management to repair fragile tendons efficiently. Dr. Noah emphasizes the benefit of allograft augmentation with acellular dermis to reinforce thin, attenuated tendons and reduce the high failure rates. Despite not being foolproof, this biological double-row approach aims to improve long-term repair success.

Keywords

endoscopic gluteal tendon repair

open gluteal tendon repair

surgical portals femur alignment

allograft augmentation acellular dermis

biological double-row technique