APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Debate: Open Superior Gluteal Reconstruction (SGR)

Debate: Open Superior Gluteal Reconstruction (SGR)

Video Transcription

Video Summary

Dr. Jorge Chala discussed superior gluteal reconstruction for treating gluteus medius and minimus tears, common causes of lateral hip pain affecting up to 25% of patients. Key considerations for treatment include tear location, tear thickness, tendon retraction, and muscle atrophy. Partial tears may be treated arthroscopically or open, but significant retraction or atrophy often requires open reconstruction with grafts such as Achilles tendon or dermal allografts. The surgery involves tendon mobilization and securing with anchors on the greater trochanter. Rehabilitation is slower than standard repairs, with limited weight-bearing for 6-8 weeks. Early outcomes are promising, but more research is needed.

Asset Caption

Jorge Chahla, M.D., Ph.D.

Keywords

superior gluteal reconstruction

gluteus medius tears

gluteus minimus tears

lateral hip pain

tendon grafts