Gluteus Medius Repair - Surgical Technique



Much like the muscles of the rotator cuff, the gluteus medius is susceptible to partial and full-thickness tears, resulting in lateral hip pain or weakness for many patients. For patients that fail non-operative treatment, open or endoscopic surgery can be performed to repair the torn tendon. Repair of the torn gluteus medius tendon has been shown to improve Harris Hip Scores by up to 66%1.

The gluteus medius tendon can be repaired in a variety of ways depending on the severity of the tear. Partial-thickness tears can be addressed by inserting suture anchors transtendinously, preserving intact tendon fibers. While full-thickness tears can be addressed using suture anchors similarly to a full-thickness rotator cuff tear, an allograft patch may be necessary to augment the repair in cases of poor tissue quality. An allograft augmentation can provide structural stability and biologic healing factors to aid in tendon healing2.


1 Chandrasekaran S, et al. Outcomes of Open Versus Endoscopic Repair of Abductor Muscle Tears of the Hip: A Systematic Review. Arthroscopy 2015;25:2057-2067


2 Valentin JE, Badylak JS et. al., Extracellular Matrix Bioscaffolds for Orthopaedic Applications, JBJS. 2006; 88:2673-2686.

3 Barber, FA, Aziz-Jacobo J. Biomechanical testing of commercially available soft-tissue augmentation materials. Arthroscopy 2009;25:1233-1239.


What our customers have to say."During the development of my augmentation technique, I did extensive research on both allograft and xnograft options. I ultimately chose the Allopatch HD® because of its aseptic harvesting technique, lack of terminal irradiation, and its excellent biomechanical and biochemical properties. Coupling this with the Y-Knot® system, we have created a minimally invasive, yet solid and durable fixation of the allograft to the underlying tendon repair, thus providing a structural component in addition to the extracellular matrix for tendon healing. This provides an avenue for potentially better care for both revision patients and the at-risk primary repair with questionable tendon quality."

- Jovan R. Laskovski, MD
Paid CONMED consultant