Open Hip Abductor Repair: Double-Row, Rip-Stop Technique.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomedical Engineering

Background:

• Gluteus and minimus tendinopathy is a common cause of lateral hip pain.
• Nonoperative treatments are often exhausted in recalcitrant cases.
• Surgical interventions are increasingly considered for significant pain relief and gait improvement.

Purpose of the Study:

• To propose and highlight an open, double-row, rip-stop suture anchor technique for abductor tendon tears.
• To address limitations of current surgical approaches for gluteal tendinopathy.

Main Methods:

• Review of recent cadaveric biomechanical analysis comparing suture anchor techniques.
• Proposal of an open surgical technique incorporating double-row anchors and rip-stop principles.
• Adaptation of successful rotator cuff repair techniques to abductor tendon tears.

Main Results:

• Cadaveric studies show double-row anchors provide greater footprint coverage and higher load to failure than single-row anchors.
• The proposed technique combines the biomechanical advantages of double-row anchors and rip-stop repairs.
• This method aims to enhance repair integrity and durability for abductor tendon tears.

Conclusions:

• The open, double-row, rip-stop suture anchor technique presents a viable and potentially superior surgical option for gluteus and minimus tendinopathy.
• This technique may improve outcomes in patients with recalcitrant abductor tendon tears.
• Further clinical studies are warranted to validate the efficacy of this surgical approach.