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