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May 29, 2015Arthroscopy The Journal of Arthroscopic and Related Surgery

Outcomes of Open Versus Endoscopic Repair of Abductor Muscle Tears of the Hip: A Systematic Review

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Authors

SCSivashankar ChandrasekaranPLParth LodhiaCGChengcheng Gui

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Overview

Systematic review finds equivalent functional recovery but higher complication rates for open repair in patients with hip abductor tears, suggesting endoscopic repair provides a safer alternative.

Key Points

  • To compare clinical outcomes, pain, abductor strength, and complication rates between open and endoscopic surgical repair of hip abductor tendon tears.
  • Systematic review of PubMed conducted by two independent reviewers identifying studies evaluating open or endoscopic gluteal tendon repairs reporting patient-reported outcome scores, pain, strength, and complications.
  • Included 7 Level IV studies totaling 167 patients (127 open repair, 40 endoscopic repair), with 15 endoscopic cases involving concomitant intra-articular procedures.
  • Modified Harris Hip Scores at 1- and 2-year follow-up, visual analog pain scale ratings, and abductor strength gains showed no qualitative divergence between open and endoscopic cohorts (numerical effect sizes, CIs, and p-values not reported in source).
  • Reported complication rates were higher in the open repair cohort compared to the endoscopic cohort, though per-arm event rates and statistical significance were not provided.

Cite This Study

Chandrasekaran et al. (2015) studied this question.

synapsesocial.com/papers/6a99393424d3faa49b74a577https://doi.org/10.1016/j.arthro.2015.03.042
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Outcomes After Primary Open or Endoscopic Abductor Tendon Repair in the Hip: A Systematic Review of the Literature2014 · 117 citations
  2. 2Mid- and long-term outcomes of endoscopic versus open gluteal tendon repair: a systematic review and multilevel meta-analysis2026
  3. 3Endoscopic gluteal tendon repair reduces complication rates while achieving outcomes comparable to open repair: A multilevel meta‐analysis2026
  4. 4Endoscopic gluteal tendon repair reduces complication rates while achieving outcomes comparable to open repair: A multilevel meta‐analysis2026
  5. 5Hip Arthroscopy With Concomitant Endoscopic Gluteus Medius/Minimus Repair2026