Systematic review shows favorable outcomes and fewer retears with endoscopic versus open repair in hip abductor tear patients, indicating endoscopic advantages.
Key Points
To systematically appraise clinical outcomes, patient demographics, tear characteristics, and complication rates following primary open versus endoscopic hip abductor tendon repair.
Conducted a systematic review of published literature on primary surgical repair of hip abductor tendons, identifying 8 eligible studies (all Level IV evidence).
Patients undergoing repair were predominantly women (90%), with partial-thickness tears and gluteus medius tears observed most frequently; combined gluteus medius and minimus tears occurred in 29% of cases.
Both open and endoscopic repairs resulted in good to excellent functional outcome scores, marked pain reduction, and low overall complication rates.
Postoperative tendon retear rates were 0% following endoscopic repair compared to 9% following open repair.