Endoscopic & Open Gluteus Medius Tendon Repair
What is Endoscopic Gluteus Medius Repair?
Endoscopic gluteus medius repair is a minimally invasive hip surgery used to treat tears of the gluteus medius tendon, which is one of the key muscles responsible for stabilizing the hip and helping with walking. It involves using a small camera (endoscope) and specialized instruments inserted through tiny incisions to repair a torn gluteus medius tendon on the outer side of the hip. Gluteus medius tendons are sometimes referred to as the “rotator cuff of the hip.”
When is Endoscopic Gluteus Medius Repair Indicated?
Endoscopic gluteus medius repair is recommended when a patient has persistent lateral hip pain due to a partial or full-thickness tear of the gluteus medius tendon, especially after non-surgical treatments (rest, physical therapy, medications, or injections) have failed. It is also advised in cases of hip weakness, limping (Trendelenburg gait), or difficulty with walking and daily activities caused by tendon damage.
How Should I Prepare for Endoscopic Gluteus Medius Repair?
Before endoscopic gluteus medius repair, your surgeon will review your history and imaging (MRI/X-rays) to confirm the tear. Inform your doctor about medications, allergies, or health conditions. You may need to stop blood thinners temporarily. Do not eat or drink for 6–8 hours before surgery. Arrange transportation and home assistance. Follow preoperative instructions, including hygiene guidelines, and prepare your home for limited mobility and postoperative rehabilitation.
What Happens During Endoscopic Gluteus Medius Repair?
The procedure for endoscopic gluteus medius repair typically involves the following steps:
- You are given general or regional anesthesia.
- The surgeon makes small incisions (portals) around the hip.
- A tiny camera is inserted to view the damaged tendon.
- Specialized instruments are used to clean damaged tissue.
- The torn gluteus medius tendon is reattached to the hip bone using suture anchors.
- The incisions are closed with stitches or sterile strips.
The procedure typically takes 1–2 hours, depending on the severity of the tear.
What Happens After Endoscopic Gluteus Medius Repair?
After endoscopic gluteus medius repair, patients are monitored briefly and usually discharged within a day. Pain and swelling are managed with medications and ice. Crutches are used for several weeks to protect the repair. A structured physical therapy program begins early to restore movement and strength. Most patients resume daily activities in 6–12 weeks, with full recovery taking around 3–6 months, depending on healing and adherence to rehabilitation.
What are the Risks and Complications of Endoscopic Gluteus Medius Repair?
Risks and complications of endoscopic gluteus medius repair include the following:
- Infection at the surgical site
- Bleeding or hematoma formation
- Nerve or blood vessel injury
- Persistent hip pain or stiffness
- Incomplete healing or tendon re-tear
- Blood clots (deep vein thrombosis)
- Adverse reaction to anesthesia
