Surgical technique for the open repair of grade 3–4 tears of the gluteus medius tendon of the hip: Technical note and case series
Abstract
Introduction and importance Greater Trochanteric Pain Syndrome (GTPS) affects 10–25 % of the population, predominantly middle-aged and elderly women. It significantly impacts quality of life, comparable to end-stage hip osteoarthritis. Gluteus Medius Tendon Tears (GTT) are a critical component of GTPS pathology. Case presentation The study introduces an innovative open surgical technique for treating Grade III and IV Gluteus Medius (GMed) tendon tears, utilizing a polyethylene terephthalate (PET) synthetic ligament for augmentation. 42 patients are included in this case series. Discussion Existing therapeutic surgical options for GTT are limited and challenging, with historically poor repair outcomes. The proposed technique using PET synthetic ligament represents a potential advancement in surgical management. Conclusion The novel surgical approach offers a promising alternative for addressing complex Gluteus Medius tendon tears, potentially improving patient outcomes and functional restoration.
How strong is the evidence?
Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health. Reported size: 42 participants or records.
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