APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Debate: Open Gluteus Medius Repairs is Better and Faster

Debate: Open Gluteus Medius Repairs is Better and Faster

Video Transcription

Video Summary

Dr. Mike Slott discusses open gluteal repair for treating greater trochanteric pain syndrome, which includes gluteus medius and minimus tears, affecting mainly middle-aged to older females. Although arthroscopic methods exist, open repair may offer faster, more reliable, and biomechanically superior outcomes, particularly for larger or complex tears. The open approach allows for better tendon mobilization, anatomical footprint restoration, thorough bursectomy, and repair of the iliotibial band. Surgical technique involves strategic incisions and suture anchor placement. Outcomes show significant pain relief and functional improvement. Rehabilitation is prolonged, often taking nine months for full recovery. Open repair remains a strong, effective option for gluteal tendon injuries.

Asset Caption

Michael Salata, M.D.

Keywords

open gluteal repair

greater trochanteric pain syndrome

gluteus medius tears

arthroscopic vs open repair

gluteal tendon rehabilitation