What is an abductor or gluteus repair?
Injury to the gluteus medius and minimus muscles may cause significant pain and interfere with daily activities. When this occurs, a gluteus medius and/or gluteus minimus treatment may be recommended by Dr. Nwachukwu. He prefers to treat an initial strain or tear conservatively by controlling pain and strengthening the surrounding muscles through physical therapy.
If a patient’s symptoms and functional limitations fail to improve, Dr. Nwachukwu may recommend repair of the tendon at the attachment site. Recent advances in orthopedic surgery allow this procedure to be done endoscopically, which offers a minimally invasive technique that can ease recovery and improve outcomes.
Often endoscopic repair of the gluteus medius or minimus tendons is accompanied with removal of surrounding tissue that can become irritated, known as the greater trochanter bursa. Additionally, a tight band of tissue overlying the area, the iliotibial band, may be released. This helps improve visualization of the normal tendon attachment site and can help decrease pain associated with bursitis.
During an endoscopic abductor repair, small “key-hole” type incisions are made in the skin on the outside of the hip. Small, narrow instruments are used to secure the torn gluteus medius or minimus tendon back down to their attachment site near the top of the femur on the greater trochanter. Suture anchors are embedded in the bone and the strands of sutures are then passed through the pulled-off portion of the tendon using specialized passing instruments. By tying these sutures down tightly, the torn tendon is once again attached to the bone.