EP7.16 Comparable Outcomes of Endoscopic Labral Repair with Concomitant Gluteus Medius and/or Minimus Repair Compared to Isolated Labral Repair: A Propensity Matched Study at Minimum 5-Year Follow-Up

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ID: 331405
2026
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Abstract
Abstract Background Gluteal tendon and labral tears commonly co-occur and can be addressed in a single surgery. Although concomitant management of gluteal tendon and labral tears have shown comparable outcomes to isolated labrum repair at 2-years, limited is known at mid-term follow-up. Methods Patients who underwent concomitant endoscopic gluteus repair and arthroscopic labrum repair between 1/2012-11/2019 with ≥5-year follow-up were included. Concomitant gluteus and labrum repair patients were propensity score matched patients who underwent isolated labrum repair during the same time by age, sex, and body mass index. Patient reported outcomes were assessed preoperatively and minimum 5-years postoperatively, including Hip Outcome Score Activities of Daily Living (HOS-ADL), Hip Outcome Score Sport-Specific Subscale (HOS-SS), Modified Harris Hip Score (mHHS), 12-Item International Hip Outcome Tool (iHOT-12), and visual analog scale (VAS) for pain and satisfaction. Achievement of minimal clinically important difference (MCID), patient acceptable symptom state (PASS), and reoperation rates were compared. Results Twenty-seven patients who underwent concomitant gluteal and labral repair were successfully matched to 78 patients undergoing isolated labrum repair. Both cohorts had significant improvement in all PROs from baseline (P<.001). There were no significant differences in PROs between cohorts preoperatively (P≥.184) or at 5-years (P≥.052). There were no significant differences between groups for MCID achievement of individual PROs (P≥.513) or for PASS achievement of individual PROs ( ≥.063). There were no significant differences between groups for MCID or PASS achievement of any single PRO at ≥5-years (P=.673 & P=.408, respectively). Time-dependent reoperation-free survivorship was comparable between the groups (P=.979). Conclusions At mid-term follow-up, patients undergoing endoscopic gluteus medius/minimus tendon repair with concomitant labral repair demonstrated favorable outcomes. Despite greater burden of abductor pathology, outcomes were comparable to those of a propensity-matched isolated labrum repair group, suggesting that appropriate surgical management of abductor pathology can effectively restore patient-reported outcomes without compromise.
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openalex_W7220459770 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Mr Jack Yang, Joseph Brinkman, Mr Ty Monty, Shane Nho
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.378
URL
https://doi.org/10.1093/jhps/hnag043.378
Keywords Keywords not found

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