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Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up

PURPOSE: To report on clinical presentations and outcomes in patients who underwent an isolated endoscopic gluteus medius (GM) repair. METHODS: We retrospectively reviewed and prospectively collected data on patients who underwent a primary isolated endoscopic GM repair. Patients were included if th...

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Autores principales: Meghpara, Mitchell B., Yelton, Mitchell J., Glein, Rachel M., Malik, Mohammad S., Rosinsky, Philip J., Shapira, Jacob, Maldonado, David R., Ankem, Hari K., Lall, Ajay C., Domb, Benjamin G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8689210/
https://www.ncbi.nlm.nih.gov/pubmed/34977622
http://dx.doi.org/10.1016/j.asmr.2021.07.026
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author Meghpara, Mitchell B.
Yelton, Mitchell J.
Glein, Rachel M.
Malik, Mohammad S.
Rosinsky, Philip J.
Shapira, Jacob
Maldonado, David R.
Ankem, Hari K.
Lall, Ajay C.
Domb, Benjamin G.
author_facet Meghpara, Mitchell B.
Yelton, Mitchell J.
Glein, Rachel M.
Malik, Mohammad S.
Rosinsky, Philip J.
Shapira, Jacob
Maldonado, David R.
Ankem, Hari K.
Lall, Ajay C.
Domb, Benjamin G.
author_sort Meghpara, Mitchell B.
collection PubMed
description PURPOSE: To report on clinical presentations and outcomes in patients who underwent an isolated endoscopic gluteus medius (GM) repair. METHODS: We retrospectively reviewed and prospectively collected data on patients who underwent a primary isolated endoscopic GM repair. Patients were included if the following patient-reported outcome scores were obtained preoperatively and at minimum 2-year follow-up: modified Harris Hip Score (mHHS), Non-arthritic Hip Score (NAHS), and visual analog scale (VAS) score. The minimal clinically important difference (MCID) for the mHHS, NAHS, and Hip Outcome Score–Sports Specific Scale was uniquely calculated for this study. Patients who underwent concomitant procedures including hip arthroplasty and hip arthroscopy were excluded. RESULTS: A total of 26 hips met all inclusion and exclusion criteria, of which 23 hips (88.5%) (22 patients) had a minimum 2-year follow-up. Nineteen hips had a partial-thickness GM tear; 17 (89.5%) were high-grade partial-thickness tears treated with a side-to-side repair through a transtendinous window. Four full-thickness tears with no retraction or fatty infiltration were able to be repaired endoscopically. The mHHS, NAHS, and VAS score all significantly improved (P < .05) from baseline: The mHHS improved from 55.9 to 75.4 (P = .005); the NAHS, from 58.8 to 79.2 (P = .003); and the VAS score, from 5.9 to 3.6 (P = .009). The MCID was calculated for the mHHS, NAHS, and Hip Outcome Score–Sports Specific Scale as 5.8, 7.1, and 11.0, respectively. Most patients achieved the MCID for all 3 patient-reported outcome scores. CONCLUSIONS: Appropriately selected patients without concomitant intra-articular hip pathology may achieve successful outcomes at a minimum 2-year follow-up after an isolated endoscopic GM repair. Most isolated endoscopic GM repairs were performed for partial-thickness GM tears. LEVEL OF EVIDENCE: Level IV, case-series study.
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spelling pubmed-86892102021-12-30 Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up Meghpara, Mitchell B. Yelton, Mitchell J. Glein, Rachel M. Malik, Mohammad S. Rosinsky, Philip J. Shapira, Jacob Maldonado, David R. Ankem, Hari K. Lall, Ajay C. Domb, Benjamin G. Arthrosc Sports Med Rehabil Original Article PURPOSE: To report on clinical presentations and outcomes in patients who underwent an isolated endoscopic gluteus medius (GM) repair. METHODS: We retrospectively reviewed and prospectively collected data on patients who underwent a primary isolated endoscopic GM repair. Patients were included if the following patient-reported outcome scores were obtained preoperatively and at minimum 2-year follow-up: modified Harris Hip Score (mHHS), Non-arthritic Hip Score (NAHS), and visual analog scale (VAS) score. The minimal clinically important difference (MCID) for the mHHS, NAHS, and Hip Outcome Score–Sports Specific Scale was uniquely calculated for this study. Patients who underwent concomitant procedures including hip arthroplasty and hip arthroscopy were excluded. RESULTS: A total of 26 hips met all inclusion and exclusion criteria, of which 23 hips (88.5%) (22 patients) had a minimum 2-year follow-up. Nineteen hips had a partial-thickness GM tear; 17 (89.5%) were high-grade partial-thickness tears treated with a side-to-side repair through a transtendinous window. Four full-thickness tears with no retraction or fatty infiltration were able to be repaired endoscopically. The mHHS, NAHS, and VAS score all significantly improved (P < .05) from baseline: The mHHS improved from 55.9 to 75.4 (P = .005); the NAHS, from 58.8 to 79.2 (P = .003); and the VAS score, from 5.9 to 3.6 (P = .009). The MCID was calculated for the mHHS, NAHS, and Hip Outcome Score–Sports Specific Scale as 5.8, 7.1, and 11.0, respectively. Most patients achieved the MCID for all 3 patient-reported outcome scores. CONCLUSIONS: Appropriately selected patients without concomitant intra-articular hip pathology may achieve successful outcomes at a minimum 2-year follow-up after an isolated endoscopic GM repair. Most isolated endoscopic GM repairs were performed for partial-thickness GM tears. LEVEL OF EVIDENCE: Level IV, case-series study. Elsevier 2021-09-02 /pmc/articles/PMC8689210/ /pubmed/34977622 http://dx.doi.org/10.1016/j.asmr.2021.07.026 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Meghpara, Mitchell B.
Yelton, Mitchell J.
Glein, Rachel M.
Malik, Mohammad S.
Rosinsky, Philip J.
Shapira, Jacob
Maldonado, David R.
Ankem, Hari K.
Lall, Ajay C.
Domb, Benjamin G.
Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up
title Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up
title_full Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up
title_fullStr Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up
title_full_unstemmed Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up
title_short Isolated Endoscopic Gluteus Medius Repair Can Achieve Successful Clinical Outcomes at Minimum 2-Year Follow-up
title_sort isolated endoscopic gluteus medius repair can achieve successful clinical outcomes at minimum 2-year follow-up
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8689210/
https://www.ncbi.nlm.nih.gov/pubmed/34977622
http://dx.doi.org/10.1016/j.asmr.2021.07.026
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