Capsular plication

Gluteal Repair Approaches

Gluteal tendon repair has been traditionally performed in an open fashion with a large incision, but recent advances in science and technology have allowed surgeons to perform the technique in a minimally-invasive arthroscopic fashion. Due to the novelty of the arthroscopic techniques, there is limited direct evidence evaluating outcomes for open versus arthroscopic gluteal tendon repair. Both techniques have individually been shown to be effective in improving functional outcomes and reducing pain. However, as with other similar surgeries in other parts of the body, arthroscopic approaches typically have a lower overall complication rate.

The strength of recommendation for open versus arthroscopic gluteal tendon repair is therefore weak. More research is needed to determine which technique is superior. Currently, both approaches can result in improvement in patient symptoms and function. 

References

  1. Both open and endoscopic gluteal tendon repairs lead to functional improvement with similar failure rates: a systematic review. Journal of ISAKOS. 2021;25(1):100-107.

  2. Equivalent mid-term results of open vs endoscopic gluteal tendon tear repair using suture anchors in forty five patients. The Journal of Arthroplasty. 2020;35(6):S352-358. 

  3. Outcomes after primary open or endoscopic abductor tendon repair in the hip: a systematic review of the literature. PubMed. 2015;25442666.

  4. Outcomes of Open Versus Endoscopic Repair of Abductor Muscle Tears of the Hip: A Systematic Review. PubMed. 2015;26033462.

  5. Full-Thickness Gluteus Medius Tears With or Without Concomitant Hip Arthroscopy: Minimum 2-Year Outcomes Using an Open Approach and Contemporary Tendon Repair Techniques. SAGE Journals. 2020;27(3):2325967120929330.

  6. A Comparative Study of Open and Arthroscopic Repair of Gluteus Medius Tears. The American Journal of Sports Medicine. 2014;42(12):2906-2913.