PMID- 32730896 OWN - NLM STAT- MEDLINE DCOM- 20210429 LR - 20210429 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) VI - 36 IP - 11 DP - 2020 Nov TI - Mid-Term Outcomes of Endoscopic Gluteus Medius Repair With Concomitant Arthroscopic Labral Treatment: A Propensity-Matched Controlled Study. PG - 2856-2865 LID - S0749-8063(20)30618-6 [pii] LID - 10.1016/j.arthro.2020.07.020 [doi] AB - PURPOSE: To report mid-term outcomes of patients who underwent endoscopic gluteus medius (GM) repair with arthroscopic labral treatment and to compare them with a control cohort of patients who underwent arthroscopic labral treatment without an endoscopic GM repair. METHODS: Data were prospectively collected and retrospectively reviewed for all patients who underwent primary hip arthroscopy between February 2008 and August 2013. Patients were included if they underwent arthroscopic labral treatment, endoscopic GM repair, and had preoperative with minimum 5-year follow-up for the following patient-reported outcomes: modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), and Hip Outcome Score-Sports Specific Subscale (HOS-SSS). Propensity score matching was used to create a control cohort of patients who underwent primary arthroscopic labral treatment without GM repair. RESULTS: There were a total of 46 patients with GM repair eligible for the current study, of whom 43 (93.5%) had 5-year follow-up. The average follow-up time was 73.4 months. At minimum 5-year follow-up, all PROs significantly improved (P < .001). Among the entire GM repair cohort, rates for achieving the patient acceptable symptomatic state (PASS) for mHHS, HOS-SSS, and international Hip Outcome Tool (iHOT-12) were 74.4%, 51.9%, and 71.8%, respectively. Rates for reaching a minimal clinically important difference for mHHS, NAHS, and HOS-SSS were 79.5%, 89.7%, and 73.1%, respectively. When the GM repair cohort was matched, there were 37 cases in the GM repair cohort and 78 in the control cohort. The GM repair cohort outcomes compared satisfactorily to the control cohort for mHHS (82.3 vs 82.6), NAHS (81.9 vs 82.3), and HOS-SSS (66.3 vs 67.5). Rates of achieving minimal clinically important difference and PASS for mHHS, NAHS, HOS-SSS, and iHOT-12 were also favorable. CONCLUSIONS: Endoscopic GM repair with arthroscopic labral treatment results in safe, durable, and significant improvement in PROs at a minimum 5-year follow-up. The outcomes compared favorably with a control cohort without GM tears. LEVEL OF EVIDENCE: III, retrospective comparative study. CI - Copyright (c) 2020 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Meghpara, Mitchell B AU - Meghpara MB AD - American Hip Institute Research Foundation, Des Plaines; AMITA Health St. Alexius Medical Center, Hoffman Estates, IIlinois, U.S.A. FAU - Yelton, Mitchell J AU - Yelton MJ AD - American Hip Institute Research Foundation, Des Plaines. FAU - Annin, Shawn AU - Annin S AD - American Hip Institute Research Foundation, Des Plaines. FAU - Shapira, Jacob AU - Shapira J AD - American Hip Institute Research Foundation, Des Plaines. FAU - Rosinsky, Philip J AU - Rosinsky PJ AD - American Hip Institute Research Foundation, Des Plaines. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, Des Plaines. FAU - Lall, Ajay C AU - Lall AC AD - American Hip Institute, Des Plaines; American Hip Institute Research Foundation, Des Plaines. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute, Des Plaines; American Hip Institute Research Foundation, Des Plaines. Electronic address: DrDomb@americanhipinstitute.org. LA - eng PT - Journal Article DEP - 20200727 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 MH - Buttocks/*surgery MH - *Endoscopy MH - Female MH - Follow-Up Studies MH - Hip/*surgery MH - Hip Joint/*surgery MH - Humans MH - Male MH - Middle Aged MH - Minimal Clinically Important Difference MH - Patient Reported Outcome Measures MH - *Propensity Score MH - Registries MH - Retrospective Studies MH - Treatment Outcome EDAT- 2020/07/31 06:00 MHDA- 2021/04/30 06:00 CRDT- 2020/07/31 06:00 PHST- 2020/01/22 00:00 [received] PHST- 2020/07/10 00:00 [revised] PHST- 2020/07/16 00:00 [accepted] PHST- 2020/07/31 06:00 [pubmed] PHST- 2021/04/30 06:00 [medline] PHST- 2020/07/31 06:00 [entrez] AID - S0749-8063(20)30618-6 [pii] AID - 10.1016/j.arthro.2020.07.020 [doi] PST - ppublish SO - Arthroscopy. 2020 Nov;36(11):2856-2865. doi: 10.1016/j.arthro.2020.07.020. Epub 2020 Jul 27.