Endoscopic Gluteus Medius Repair

Endoscopic gluteus medius repair is indicated after failed conservative management for debilitating peritrochanteric hip pain. In our experience, most of these surgeries are performed on women, 45 to 75 years old. Often for undersurface high-grade partial-thickness tears and some small full-thickness tears, a single-row repair technique is performed. For larger, full-thickness tears, a double-row repair is often performed. For minimal, superficial, partialthickness tears with a longitudinal component of tearing through the gluteus medius tendon, a side-to-side repair is performed. Short-term follow-up shows significant improvements in hip outcome score for activities of daily living and in numeric rating scale.

Automated summary

Endoscopic gluteus medius repair is an effective treatment for peritrochanteric hip pain after failed conservative management, especially for women aged 45 to 75. Different repair techniques can be used based on the extent of tears, and significant improvements in daily activities and pain scores are observed in short-term follow-up.