Related Experiment Video
Updated: May 19, 2026
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Editorial Commentary: Endoscopic Hamstring Repair: The Evolving Standard From Open Management for Experienced Hip
1McGovern Medical School, University of Texas Health Sciences Center, Houston, Texas, U.S.A.
None:
Endoscopic proximal hamstring repair represents an evolution in the surgical management of posterior hip pathology. Mastery of this technique requires progression beyond intra-articular and peritrochanteric hip arthroscopy into the technically demanding subgluteal space. In experienced hands, the endoscopic approach offers improved visualization, enhanced control, and more reliable identification and protection of the sciatic nerve. Compared with traditional open techniques, it allows for greater precision and procedural efficiency while reducing dependence on exposure and assistance. As surgical experience and outcome data continue to mature, endoscopic repair is increasingly recognized as a reproducible and safe option in appropriately selected patients. The transition from open to endoscopic management reflects the natural evolution of modern hip preservation surgery.