AANA Hip Arthroscopy - September 2024-Debate_ Endoscopic Gluteus Medius Repairs

Debate_ Endoscopic Gluteus Medius Repairs - 1

Video Transcription

Video Summary

Joshua Harris presents the endoscopic gluteus medius repair, highlighting its benefits over open surgery for treating abductor tendon tears causing lateral hip pain and dysfunction. Patients often have refractory symptoms, significant pain, and a Trendelenburg gait. Diagnosis relies on clinical signs, MRI, and sometimes injections. Endoscopic repair is minimally invasive, allows concurrent intraarticular problem treatment, has lower complications, and less opioid use. Although technically challenging for large tears, the procedure involves thorough visualization, tendon repair, and anchoring. Harris concludes that while nonsurgical treatment often helps, endoscopic repair is generally the preferred surgical approach for abductor tendon pathology.

Keywords

Endoscopic gluteus medius repair

Abductor tendon tears

Lateral hip pain

Minimally invasive surgery

Trendelenburg gait