PMID- 32721548
OWN - NLM
STAT- MEDLINE
DCOM- 20210429
LR  - 20210429
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 36
IP  - 11
DP  - 2020 Nov
TI  - Clinical Outcomes After Endoscopic Repair of Gluteus Medius Tendon Tear Using a 
      Knotless Technique With a 2-Year Minimum Follow-Up.
PG  - 2849-2855
LID - S0749-8063(20)30620-4 [pii]
LID - 10.1016/j.arthro.2020.07.022 [doi]
AB  - PURPOSE: To evaluate clinical outcomes in patients who underwent endoscopic 
      gluteus medius repair with at least 2-year follow-up. METHODS: This was a 
      single-center, single-surgeon retrospective study of 19 patients (20 hips) who 
      underwent endoscopic knotless gluteus medius repair between August 2010 and 
      August 2016 with >/=2 years of follow-up. Preoperative magnetic resonance imaging 
      (MRI) was reviewed and graded according to the Goutallier/Fuchs classification; 
      preoperative X-rays were reviewed and graded according to the Tonnis 
      classification. Baseline and 2-year postoperative modified Harris hip score 
      (mHHS) and nonarthritic hip score (NAHS) were prospectively collected. 
      The numbers of patients reaching the minimal clinically important difference 
      (MCID) and patient acceptable symptomatic rate (PASS) were determined. RESULTS: 
      Twenty hips from 19 patients met the inclusion criteria and were separated based 
      on tear type. The study population comprised 15 (79%) females and 4 (21%) males 
      presenting with a mean age of 51.3 +/- 11.9 years and an average body mass index of 
      25.3 +/- 3.9 kg/m(2). Patients with partial tears reported average preoperative 
      mHHS and NAHS of 33.6 +/- 11.3 and 40.4 +/- 14.9, respectively; at 2-year follow-up, 
      average mHHS and NAHS of 72.9 +/- 22.9 and 77.2 +/- 19.7 were reported. Patients with 
      full-thickness tears reported average preoperative mHHS and NAHS of 43.8 +/- 14.7 
      and 46.4 +/- 8.3, respectively; at 2-year follow-up, average mHHS and NAHS of 80.1 
      +/- 8.5 and 79.5 +/- 10.1 were reported. There was significant clinical improvement 
      at 2-year follow-up, relating to both outcome measures in each subject group (P < 
      .001). At 2 years, 90% of hips surpassed MCID, and 63% of hips achieved PASS. 
      CONCLUSION: Endoscopic repair for gluteus medius tears results in improved mHHS 
      and NAHS at 2 years of follow-up compared with baseline. Most patients reach 
      critical thresholds of minimal and satisfactory clinical improvement. LEVEL OF 
      EVIDENCE: Level IV, case series with subgroup analysis.
CI  - Copyright (c) 2020 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Kirby, David
AU  - Kirby D
AD  - New York University Langone Orthopedic Hospital, New York, New York, U.S.A.
FAU - Fried, Jordan W
AU  - Fried JW
AD  - New York University Langone Orthopedic Hospital, New York, New York, U.S.A.. 
      Electronic address: jordanfried117@gmail.com.
FAU - Bloom, David A
AU  - Bloom DA
AD  - New York University Langone Orthopedic Hospital, New York, New York, U.S.A.
FAU - Buchalter, Daniel
AU  - Buchalter D
AD  - New York University Langone Orthopedic Hospital, New York, New York, U.S.A.
FAU - Youm, Thomas
AU  - Youm T
AD  - New York University Langone Orthopedic Hospital, New York, New York, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20200725
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
MH  - Adult
MH  - Arthroscopy/methods
MH  - Buttocks/*surgery
MH  - Endoscopy/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Hip/surgery
MH  - Hip Joint/surgery
MH  - Humans
MH  - Lacerations
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Muscle, Skeletal/surgery
MH  - Patient Satisfaction
MH  - Postoperative Period
MH  - Retrospective Studies
MH  - Tendon Injuries/*surgery
MH  - Tendons/*surgery
MH  - Treatment Outcome
EDAT- 2020/07/30 06:00
MHDA- 2021/04/30 06:00
CRDT- 2020/07/30 06:00
PHST- 2020/01/15 00:00 [received]
PHST- 2020/07/14 00:00 [revised]
PHST- 2020/07/16 00:00 [accepted]
PHST- 2020/07/30 06:00 [pubmed]
PHST- 2021/04/30 06:00 [medline]
PHST- 2020/07/30 06:00 [entrez]
AID - S0749-8063(20)30620-4 [pii]
AID - 10.1016/j.arthro.2020.07.022 [doi]
PST - ppublish
SO  - Arthroscopy. 2020 Nov;36(11):2849-2855. doi: 10.1016/j.arthro.2020.07.022. Epub 
      2020 Jul 25.