PMID- 36066574
OWN - NLM
STAT- MEDLINE
DCOM- 20230413
LR  - 20230415
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Print)
IS  - 0942-2056 (Linking)
VI  - 31
IP  - 5
DP  - 2023 May
TI  - Satisfactory results after endoscopic gluteus medius repair combined with 
      selective gluteus maximus reflected tendon release for the treatment of a 
      full-thickness tear of gluteus medius.
PG  - 2038-2045
LID - 10.1007/s00167-022-07140-x [doi]
AB  - PURPOSE: The current study aimed to report the mid-term follow-up results of 
      endoscopic gluteus medius repair combined with a systematic release of the 
      gluteus maximus reflected tendon. METHODS: Twenty-two patients with a symptomatic 
      full-thickness tear of the gluteus medius tendon, as diagnosed by clinical 
      examination and imaging (MRI), and who had a failure of conservative treatment 
      for at least 6 months, were retrospectively enrolled for this study. An 
      endoscopic repair of gluteus medius was performed for all patients in combination 
      with gluteus maximus reflected tendon release according to the Polesello 
      technique. The Visual Analogue Scale (VAS) for pain, Modified Harris Hip Score 
      (mHHS), Lower Extremity Functional Scale (LEFS), Hip Outcome Score-Activity Daily 
      Life (HOS-ADL), and Hip Outcome Score-Sport Specific Subscale (HOS-SSS) were 
      administered to each patient before surgery for 6 months, 1 year, and every 
      following year after surgery. RESULTS: All analysed hip scores (mHHS, LEFS, 
      HOS-ADL, and HOS-SSS) showed statistically significant improvements between the 
      pre-operative and post-operative values at 6 months, 1 year, and the latest 
      follow-up appointments after surgery (p < 0.001). The mean pre-operative pain was 
      8.6 +/- 1.0 on the VAS. After surgical treatment, the pain was significantly 
      reduced (p < 0.001) on the VAS at 6 months (5.4 +/- 1.5), 1 year (4.4 +/- 1.8) and 
      the latest follow-up control visit (3.6 +/- 2.2). No patient-reported major 
      complications (re-rupture, deep infection or neurovascular injury). Eleven (50%) 
      patients indicated the results as excellent, 7 (32%) as good, 2 (9%) as fair, and 
      2 (9%) as poor. CONCLUSION: The use of abductor tendon repair in combination with 
      a systematic release of the reflected tendon of the gluteus maximus according to 
      the Polesello technique seems to be a safe and effective endoscopic way of 
      treating a full-thickness tear of the gluteus medius. LEVEL OF EVIDENCE: Level 
      IV.
CI  - (c) 2022. The Author(s).
FAU - Della Rocca, Federico
AU  - Della Rocca F
AD  - Humanitas Research Hospital-IRCCS, Via Alessandro Manzoni 36, Rozzano, MI, Italy.
FAU - Di Francia, Vincenzo
AU  - Di Francia V
AD  - Humanitas Research Hospital-IRCCS, Via Alessandro Manzoni 36, Rozzano, MI, Italy.
FAU - Giuffrida, Alberto
AU  - Giuffrida A
AD  - Humanitas Research Hospital-IRCCS, Via Alessandro Manzoni 36, Rozzano, MI, Italy.
FAU - Rosolani, Marco
AU  - Rosolani M
AD  - Humanitas Research Hospital-IRCCS, Via Alessandro Manzoni 36, Rozzano, MI, Italy.
FAU - D'Ambrosi, Riccardo
AU  - D'Ambrosi R
AUID- ORCID: 0000-0002-1216-792X
AD  - IRCCS Istituto Ortopedico Galeazzi, Via Galeazzi 4, 20161, Milan, Italy. 
      riccardo.dambrosi@hotmail.it.
AD  - Dipartimento di Scienze Biomediche per la Salute, Universita degli Studi di 
      Milano, Via Mangiagalli 31, Milan, Italy. riccardo.dambrosi@hotmail.it.
FAU - D'Addona, Alessio
AU  - D'Addona A
AD  - Humanitas Research Hospital-IRCCS, Via Alessandro Manzoni 36, Rozzano, MI, Italy.
LA  - eng
PT  - Journal Article
DEP - 20220906
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Humans
MH  - Treatment Outcome
MH  - *Tenotomy
MH  - Retrospective Studies
MH  - Buttocks
MH  - *Pain
PMC - PMC10090025
OTO - NOTNLM
OT  - Endoscopy
OT  - Gluteus maximus reflected tendon release
OT  - Gluteus medius full-thickness tear
OT  - Hip arthroscopy
OT  - Surgical technique
COIS- None.
EDAT- 2022/09/07 06:00
MHDA- 2023/04/13 06:42
PMCR- 2022/09/06
CRDT- 2022/09/06 11:12
PHST- 2022/05/28 00:00 [received]
PHST- 2022/08/22 00:00 [accepted]
PHST- 2023/04/13 06:42 [medline]
PHST- 2022/09/07 06:00 [pubmed]
PHST- 2022/09/06 11:12 [entrez]
PHST- 2022/09/06 00:00 [pmc-release]
AID - 10.1007/s00167-022-07140-x [pii]
AID - 7140 [pii]
AID - 10.1007/s00167-022-07140-x [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2023 May;31(5):2038-2045. doi: 
      10.1007/s00167-022-07140-x. Epub 2022 Sep 6.