PMID- 33553438 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220420 IS - 2325-9671 (Print) IS - 2325-9671 (Electronic) IS - 2325-9671 (Linking) VI - 9 IP - 1 DP - 2021 Jan TI - Return to Activity After Gluteus Medius Repair in Active Patients Older Than 50 Years. PG - 2325967120967968 LID - 10.1177/2325967120967968 [doi] LID - 2325967120967968 AB - BACKGROUND: Gluteus medius (GM) tears are a known cause of dysfunction and disability predominantly in older women. PURPOSE: To report on return to activity, patient-reported outcomes (PROs), and a uniquely calculated minimal clinically important difference (MCID) at a minimum 2-year follow-up for active patients who had undergone either an endoscopic or an open GM repair. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Patients were considered eligible if they (1) underwent a GM repair with or without concomitant central and peripheral compartment procedures; (2) had baseline preoperative and minimum 2-year scores for the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain; and (3) participated in a physical activity or sport within 1 year before their surgery. Return to activity was defined as the patient being able to participate in his or her activity at a minimum of 2 years postoperatively. RESULTS: Of 87 eligible patients, 84 (96.6%) met all inclusion criteria. The mean follow-up was at 44.5 months. Six patients (7.1%) underwent an open GM repair, while the remaining 78 (92.9%) underwent an endoscopic GM repair. Concomitant central and peripheral compartment arthroscopic procedures were performed in 69 patients (82.1%). All PROs significantly (P < .001) improved as follows: mHHS, from 59.0 to 85.8; NAHS, from 57.9 to 84.0; HOS-SSS, from 32.6 to 63.7; and VAS pain, from 5.4 to 1.9. A total of 57 patients (67.9%) returned to their preoperative activity at the 2-year follow-up. The MCID was calculated for the mHHS, NAHS, and HOS-SSS to be 7.5, 7.4, and 10.9, respectively, with 79.3%, 86.4%, and 70.2% of patients achieving the MCID for each respective PROs. CONCLUSION: Active patients over the age of 50 years may benefit from endoscopic or open repair of GM tears, as the majority of patients in our cohort were able to return to their activity of choice. All measured PROs had significantly improved at a minimum 2-year follow-up, with high survivorship, satisfaction, and clinical effectiveness. Patients with partial-thickness tears compared with full-thickness tears and those who underwent isolated GM repair compared with GM repair with concomitant procedures had similar return to activity rates and PROs at the latest follow-up. CI - (c) The Author(s) 2021. FAU - Meghpara, Mitchell B AU - Meghpara MB AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. AD - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA. FAU - Yelton, Mitchell J AU - Yelton MJ AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Annin, Shawn AU - Annin S AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Rosinsky, Philip J AU - Rosinsky PJ AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Shapira, Jacob AU - Shapira J AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Lall, Ajay C AU - Lall AC AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. AD - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA. AD - American Hip Institute, Chicago, Illinois, USA. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. AD - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA. AD - American Hip Institute, Chicago, Illinois, USA. LA - eng PT - Journal Article DEP - 20210127 PL - United States TA - Orthop J Sports Med JT - Orthopaedic journal of sports medicine JID - 101620522 PMC - PMC7844460 OTO - NOTNLM OT - endoscopy OT - gluteus medius OT - hip arthroscopy OT - return to activity COIS- One or more of the authors has declared the following potential conflict of interest or source of funding: M.B.M. has received educational support and hospitality payments from Arthrex, Stryker, and Smith & Nephew. P.J.R., J.S., and D.R.M. have 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; and hospitality payments from Arthrex, Smith & Nephew, Stryker, and Zimmer Biomet. B.G.D. has received research support from Arthrex, ATI, the Kauffman Foundation, Stryker, and Pacira Pharmaceuticals; educational support from Arthrex, Breg, and Medwest; consulting fees from Adventist Hinsdale Hospital, Arthrex, MAKO Surgical, Medacta, Pacira Pharmaceuticals, and Stryker; speaking fees from Arthrex and Pacira Pharmaceuticals; and royalties from Amplitude, Arthrex, DJO Global, MAKO Surgical, Medacta, Stryker, and Orthomerica and has had ownership interests in Hinsdale Orthopaedics, the American Hip Institute, SCD#3, North Shore Surgical Suites, and Munster Specialty Surgery Center. 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- 2021/02/09 06:00 MHDA- 2021/02/09 06:01 PMCR- 2021/01/27 CRDT- 2021/02/08 05:49 PHST- 2020/06/12 00:00 [received] PHST- 2020/06/30 00:00 [accepted] PHST- 2021/02/08 05:49 [entrez] PHST- 2021/02/09 06:00 [pubmed] PHST- 2021/02/09 06:01 [medline] PHST- 2021/01/27 00:00 [pmc-release] AID - 10.1177_2325967120967968 [pii] AID - 10.1177/2325967120967968 [doi] PST - epublish SO - Orthop J Sports Med. 2021 Jan 27;9(1):2325967120967968. doi: 10.1177/2325967120967968. eCollection 2021 Jan.