PMID- 38092277 OWN - NLM STAT- Publisher LR - 20240123 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) DP - 2023 Dec 12 TI - Endoscopic Hip Abductor Tendon Repair Results in Successful Outcomes With 5- to 10-Year Follow-up. LID - S0749-8063(23)00980-5 [pii] LID - 10.1016/j.arthro.2023.11.031 [doi] AB - PURPOSE: To report the outcomes of endoscopic repair in a consecutive series of patients with follow-up ranging from 5 to 10 years. METHODS: Sixty-five consecutive hips in 63 patients (2 bilateral) undergoing endoscopic abductor tendon repair with minimum 5-year follow-up were assessed with the modified Harris Hip Score. The minimal clinically important difference (MCID) was determined as one-half the standard deviation of the amount of improvement. RESULTS: The mean age was 56.6 years (standard deviation [SD], 11.3 years), with 58 female and 5 male patients. Follow-up was obtained on 64 hips (98.5%) at a mean of 85 months (SD, 15.7 months). There were 33 full-thickness and 32 partial-thickness tears, with 40 gluteus medius tears, 23 medius and minimus tears, and 2 isolated minimus tears. Concomitant arthroscopy of the hip joint was performed in 50 patients (52 hips), including 15 with correction of femoroacetabular impingement. The mean modified Harris Hip Score was 48.4 (SD, 15.7) preoperatively and 83.4 (SD, 15.9) postoperatively, reflecting a mean improvement of 34.9 (95% confidence interval, 34.9 +/- 4.3), with 92.2% of patients achieving the MCID of 8.7. There were no complications. Three patients underwent further surgery: One underwent total hip replacement at 11 months after abductor repair, one underwent repeated arthroscopy for joint debridement at 12 months after repair, and one underwent revision abductor repair at 6 years postoperatively. CONCLUSIONS: Collectively, with 5- to 10-year follow-up, patients undergoing endoscopic abductor tendon repair can respond exceptionally well, with 92.2% achieving the MCID, even among a heterogeneous group of partial- and full-thickness tears with single- and 2-tendon involvement undergoing single- and double-row repair. LEVEL OF EVIDENCE: Level IV, case series. CI - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Byrd, J W Thomas AU - Byrd JWT AD - Nashville Sports Medicine Foundation, Nashville, Tennessee, U.S.A.. Electronic address: info@nashvillehip.org. FAU - Jones, Kay S AU - Jones KS AD - Nashville Sports Medicine Foundation, Nashville, Tennessee, U.S.A. FAU - Duncan, Sharon AU - Duncan S AD - Nashville Sports Medicine Foundation, Nashville, Tennessee, U.S.A. LA - eng PT - Journal Article DEP - 20231212 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 COIS- Disclosure The authors report the following potential conflicts of interest or sources of funding: J.W.T.B. is a consultant for Smith & Nephew and receives research support from Smith & Nephew, outside the submitted work. All other authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article. Full ICMJE author disclosure forms are available for this article online, as supplementary material. EDAT- 2023/12/14 00:42 MHDA- 2023/12/14 00:42 CRDT- 2023/12/13 19:28 PHST- 2022/08/11 00:00 [received] PHST- 2023/11/13 00:00 [revised] PHST- 2023/11/19 00:00 [accepted] PHST- 2023/12/14 00:42 [pubmed] PHST- 2023/12/14 00:42 [medline] PHST- 2023/12/13 19:28 [entrez] AID - S0749-8063(23)00980-5 [pii] AID - 10.1016/j.arthro.2023.11.031 [doi] PST - aheadofprint SO - Arthroscopy. 2023 Dec 12:S0749-8063(23)00980-5. doi: 10.1016/j.arthro.2023.11.031.