AANA Hip Arthroscopy - September 2024-Debate_ Open Superior Gluteal Reconstruction (SGR)

Debate_ Open Superior Gluteal Reconstruction (SGR)

Video Transcription

Video Summary

Dr. Jorge Chala presents on superior gluteal reconstruction for treating abductor tears in the hip, particularly involving the gluteus medius and minimus. Key factors in repair decisions include which tendons are involved, tear thickness, retraction, and muscle atrophy. Partial or full-thickness tears without significant retraction can be repaired arthroscopically or openly. Significant retraction or fatty atrophy may require superior gluteal reconstruction using grafts like Achilles tendon or dermal allografts. The preferred surgical approach is a vertical incision over the trochanter. Rehabilitation involves limited weight-bearing for 6-8 weeks. Early results are promising, but further research is encouraged.

Keywords

superior gluteal reconstruction

abductor tears

gluteus medius

gluteus minimus

arthroscopic repair