APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Debate: Endoscopic Gluteal Repair with Allograft Augmentation

Debate: Endoscopic Gluteal Repair with Allograft Augmentation

Video Transcription

Video Summary

Dr. Noah presents on endoscopic versus open gluteal tendon repair, advocating for the endoscopic method due to lower morbidity, fewer complications, and comparable outcomes. Key points include splitting the IT band for better visualization and improved patient results, using specialized portals to enhance surgical efficiency, and favoring all-suture anchors for fixation. High re-tear rates led to utilizing acellular dermis allograft augmentation to strengthen fragile tendons, inspired by rotator cuff repair techniques. While not foolproof, this biological double-row approach reduces failures. Overall, endoscopic repair with graft augmentation offers a faster, less invasive option with promising long-term results.

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Jovan Laskovski, M.D.

Keywords

endoscopic gluteal tendon repair

open gluteal tendon repair

IT band splitting

all-suture anchors

acellular dermis allograft augmentation