AANA19 Hip Access Pass-Abductor Repair for Dummies-Dr. Benjamin Domb, M.D.

Abductor Repair for Dummies-Dr. Benjamin Domb, M.D.

Video Transcription

Video Summary

This video explains gluteus medius repair for greater trochanteric pain syndrome (GTPS). GTPS involves pathology of the hip abductor mechanism, including bursitis, snapping, and partial/full thickness gluteal tears. Initial treatment is conservative—physical therapy, NSAIDs, injections (preferably PRP over cortisone), and shockwave therapy. Surgical options follow failed conservative care: endoscopic repair for partial or full tears using suture staple, transtendinous, or suture bridge techniques; open repair for large, retracted tears; and gluteus maximus transfer for irreparable tears. These approaches offer favorable outcomes, sustained over five years, enhancing hip function and pain relief.

Keywords

gluteus medius repair

greater trochanteric pain syndrome

hip abductor pathology

endoscopic and open surgical techniques

non-surgical treatments for GTPS