Mini-Open Technique for Gluteus Medius Tendon Repairs Is Associated With Low Complication Rates and Sustained Improvement in Patient Reported Outcomes at 2-Year Follow-Up.

Autor: Quinn M; Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A., Albright A; The Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A., Kent V; The Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A., Morrissey P; Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A., Katz L; The Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A., Kutschke M; Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A., Lemme N; Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A., Tabaddor RR; Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A.
Jazyk: angličtina
Zdroj: Arthroscopy, sports medicine, and rehabilitation [Arthrosc Sports Med Rehabil] 2024 Jul 09; Vol. 6 (5), pp. 100972. Date of Electronic Publication: 2024 Jul 09 (Print Publication: 2024).
DOI: 10.1016/j.asmr.2024.100972
Abstrakt: Purpose: To evaluate the efficacy of the senior author's hybrid "mini-open" technique for abductor tendon repair at 2-year follow-up.
Methods: After institutional review board approval, we performed a retrospective review of prospectively collected data for all patients undergoing isolated mini-open gluteus medius tendon repairs from January 2018 to January 2022. Inclusion criteria included ongoing abductor pain refractory to nonoperative management, magnetic resonance imaging demonstrating gluteus medius/minimus tear, completion of preoperative patient-reported outcome measures (PROMs) including Modified Harris Hip Score (mHHS), Hip Outcome Score for Activities of Daily Living (HOS-ADL), Hip Outcome Score for Sports-Related Activities (HOS-SS), and visual analog scale (VAS) for pain and minimum 2-year follow-up. PROMs were assessed at preoperative, 6-month, 1-year, and 2-year postoperative intervals. Paired-sample t tests were used to compare the change in each outcome measure. The minimal clinically important difference (MCID) was calculated, and complications were recorded.
Results: Sixty-one patients (59 female, 96.7%) with an average age of 61.4 ± 1.3 years were included. The mean follow-up was 25.9 ± 1.13 months. mHHS improved from a mean of 47.2 preoperatively to 68.9 at 2 years ( P < 0.001), HOS-ADL from 54 to 78.9 ( P  < 0.001), HOS-SS from 37 to 66.5 ( P  = 0.015), and VAS from 13.3 to 7.4 ( P  = 0.001). The MCIDs for mHHS, HOS-ADL, HOS-SS, and VAS were 11.1 (60% achievement), 6.1 (78.6% achievement), 9.7 (80.3% achievement), and 14.5 (75.4% achievement), respectively. Two patients experienced retears (3.2%), with no other complications reported.
Conclusions: The mini-open technique for abductor tendon repair provides sustained improvement in both pain and function-related PROMs at 2-year follow-up with comparable complication rates to endoscopic and open techniques in 1 surgeon's practice.
Level of Evidence: Level IV, therapeutic retrospective case series.
Competing Interests: The authors (M.Q., A.A., V.K., P.M., L.K., M.K., N.L., R.R.T.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2024 The Authors.)
Databáze: MEDLINE
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