PMID- 32699803 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220415 IS - 2325-9671 (Print) IS - 2325-9671 (Electronic) IS - 2325-9671 (Linking) VI - 8 IP - 7 DP - 2020 Jul TI - Full-Thickness Gluteus Medius Tears With or Without Concomitant Hip Arthroscopy: Minimum 2-Year Outcomes Using an Open Approach and Contemporary Tendon Repair Techniques. PG - 2325967120929330 LID - 10.1177/2325967120929330 [doi] LID - 2325967120929330 AB - BACKGROUND: Gluteus medius (GM) tears are a well-established source of pain and disability. An open approach has been recognized with complete full-thickness and large GM tears, yet the current literature provides few reports on outcomes for this specific situation. PURPOSE: To report and analyze minimum 2-year patient-reported outcomes (PROs) from patients who underwent open GM repair in the setting of a full-thickness tear with or without concomitant hip arthroscopy through use of contemporary tendon repair techniques. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Prospectively collected data were retrospectively reviewed for patients who underwent hip preservation surgery and total hip arthroplasty (THA) between April 2008 and May 2017. Patients were included in this study if they underwent open repair of GM full-thickness tears. The exclusion criteria were incomplete follow-up, workers' compensation status, repair regarding size and pattern of the GM, open repair of partial GM tear, open repair with allograft or autograft augmentation, and/or additional gluteus maximus transfer. Pre- and postoperative PROs for the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score Sport-Specific Subscale (HOS-SSS), and visual analog scale (VAS) score for pain and satisfaction were recorded. Statistical significance was set at P < .05. RESULTS: A total of 36 patients were included, of whom 12 received concomitant hip arthroscopy for intra-articular procedures. The mean +/- SD age, body mass index, and follow-up time were 65.18 +/- 12.69 years, 28.97 +/- 4.95 kg/m(2), and 40.8 +/- 26.19 months, respectively. At minimum 2-year follow-up, the following outcome measures improved significantly: mHHS (from 54.72 +/- 15.89 to 73.12 +/- 19.47; P < .0001), NAHS (from 56.05 +/- 12.47 to 75.22 +/- 19.15; P < .0001); HOS-SSS (from 20.30 +/- 20.21 to 44.23 +/- 35.85; P < .0001), and VAS (from 4.95 +/- 2.70 to 2.67 +/- 2.81; P < .0001). There was 1 (2.8%) conversion to THA at 48 months after the index procedure. CONCLUSION: Patients who underwent open repairs in the setting of full-thickness GM tears via contemporary tendon repair techniques, with or without concomitant hip arthroscopy, achieved favorable results in several PRO scores at minimum 2-year follow-up. CI - (c) The Author(s) 2020. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Annin, Shawn AU - Annin S AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Chen, Jeffery W AU - Chen JW AD - Vanderbilt University School of Medicine, Nashville, Tennessee, USA. FAU - Rosinsky, Philip J AU - Rosinsky PJ AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Shapira, Jacob AU - Shapira J AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Lall, Ajay C AU - Lall AC AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. AD - American Hip Institute, Des Plaines, Illinois, USA. AD - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. AD - American Hip Institute, Des Plaines, Illinois, USA. AD - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA. LA - eng PT - Journal Article DEP - 20200710 PL - United States TA - Orthop J Sports Med JT - Orthopaedic journal of sports medicine JID - 101620522 PMC - PMC7357074 OTO - NOTNLM OT - gluteus medius OT - gluteus medius tear OT - hip OT - outcomes COIS- One or more of the authors has declared the following potential conflict of interest or source of funding: D.R.M. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew. P.J.R. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew. J.S. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew. A.C.L. has received research support from Arthrex, Stryker, and Medacta; educational support from Medwest and Smith & Nephew; consulting fees from Arthrex and Graymont Medical; food and beverage from Smith & Nephew, Stryker, Zimmer Biomet, Arthrex; and travel and lodging from Stryker and Arthrex. B.G.D. has had ownership interests in Hinsdale Orthopaedics, the American Hip Institute, SCD#3, North Shore Surgical Suites, and Munster Specialty Surgery Center; has received research support from Arthrex, ATI, the Kauffman Foundation, Stryker, and Pacira Pharmaceuticals; has received consulting fees from Adventist Hinsdale Hospital, Arthrex, MAKO Surgical, Medacta, Pacira Pharmaceuticals, and Stryker; has received educational support from Arthrex, Breg, and Medwest; has received speaking fees from Arthrex and Pacira Pharmaceuticals; and receives royalties from Arthrex, DJO Global, MAKO Surgical, Stryker, and Orthomerica. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. EDAT- 2020/07/24 06:00 MHDA- 2020/07/24 06:01 PMCR- 2020/07/10 CRDT- 2020/07/24 06:00 PHST- 2020/02/16 00:00 [received] PHST- 2020/02/26 00:00 [accepted] PHST- 2020/07/24 06:00 [entrez] PHST- 2020/07/24 06:00 [pubmed] PHST- 2020/07/24 06:01 [medline] PHST- 2020/07/10 00:00 [pmc-release] AID - 10.1177_2325967120929330 [pii] AID - 10.1177/2325967120929330 [doi] PST - epublish SO - Orthop J Sports Med. 2020 Jul 10;8(7):2325967120929330. doi: 10.1177/2325967120929330. eCollection 2020 Jul.