Gluteus Medius and Minimus Tears Open Repair/Reconstruction

Christofilopoulos, Panayiotis; Kyriakopoulos, Georgios; Kenanidis, Eustathios

doi:10.1007/978-3-662-61186-9_23

Cited by 1 publication

(4 citation statements)

References 35 publications

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“…The rate of complications ranged from 0 to 31.2% [9, 10, 20, 25, 27–30, 35, 37, 39]. Poor results were reported mainly for highly atrophic and degenerated muscles and following a substantial delay of the repair [8, 10, 30]. Unfortunately, the majority of studies did not report the evaluation of the preoperative fatty infiltration of hip abductor muscles and the intraoperative tendon quality.…”

Section: Resultsmentioning

confidence: 99%

“…Bone tunnels for gluteus medius re‐attachment should be done perpendicularly, and tunnel(s) for gluteus minimus obliquely to the long axis of the footprint [39]. Suture anchors may be preferred for the re‐attachment of Grade I‐II tendon defects and to preserve the femoral vascular supply on a native hip [8, 10]. The double row effect for suture anchors provide better footprint coverage and a higher load to failure than single row constructs [22].…”

Section: Discussionmentioning

confidence: 99%

“…Insertional tendinopathy of the hip abductor tendons is one of the most common causes of lateral hip and buttock pain [8]. Gluteus medius and gluteus minimus tendinopathy can range from tendinosis to partial or complete tendon rupture [26].…”

Section: Introductionmentioning

confidence: 99%

“…Much uncertainty still exists regarding the management of tears of the hip abductor tendons. Diagnosis and classification of gluteal tendon ruptures remain inconclusive [8]. Surgical management is usually the final treatment option following a long‐failed conservative treatment period.…”

Section: Introductionmentioning

confidence: 99%

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A roadmap to develop clinical guidelines for open surgery of acute and chronic tears of hip abductor tendons

Kenanidis

Christofilopoulos

2020

Knee Surg Sports Traumatol Arthrosc

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PurposeAbductor tendon tears are increasingly recognised as a common cause of lateral hip pain. Surgical treatment of these tears has been recommended, but the indications and types of open surgery have not been precisely elucidated yet. This manuscript aimed to critically review the literature concerning all open treatment options for this condition while identifying knowledge gaps and introducing a treatment algorithm. MethodsLiterature search was conducted, including PubMed, Cochrane library, ScienceDirect and Ovid MEDLINE from 2000 to May 2020. Inclusion criteria were set as: (i) clinical studies reporting outcomes following open surgical treatment of acute or chronic hip abductor tendon tears, (ii) studies reporting an open direct or augmented suturing or muscle transfer procedure, (iii) acute or chronic tears found in native or prosthetic hips. ResultsA total of 34 studies published between 2004 and 2020 were included. The vast majority of studies were uncontrolled case series of a single treatment method. A total of 970 patients (76% women) with an age range between 48 and 76 years were involved. Women between 60 and 75 years old were most commonly treated. Preoperative evaluation of patients and reporting of open surgical technique and outcomes are inconsistent. All studies reported variable improvement of pain, functional outcomes and gait of patients. Overall, complication rates ranged from 0 to 31.2%. ConclusionThe current literature on this topic is highly heterogeneous, and the overall level of the available evidence is low. A roadmap to develop practical guidelines for open surgery of acute and chronic tears of abductor tendons is provided. The anatomy and chronicity of the lesion, the extent of fatty infiltration and neurologic integrity of hip abductor muscles may influence both treatment choice and outcome. Further high‐quality studies with standardisation of preoperative evaluation of patients and reporting of outcomes will help delineate best treatments. Level of evidenceIV.

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