Who needs gluteus medius tendon repair?

Patients with persistent lateral hip pain due to tears of the gluteus medius tendon, especially when conservative treatments have failed, may be candidates for arthroscopic repair.

How is the procedure performed?

During the procedure, small incisions are used to insert an arthroscope and specialized instruments to visualize and repair the torn gluteus medius tendon, often securing it back to the bone with anchors.

What is recovery like after surgery?

Recovery usually includes a period of limited weight‑bearing, use of crutches, and structured physical therapy to regain strength and range of motion. Full recovery may take several weeks to months.

Are there risks associated with this surgery?

As with any surgical procedure, risks can include infection, stiffness, nerve injury, continued pain, and incomplete symptom resolution, although many patients experience improved function and reduced pain.

Arthroscopic Gluteus Medius Tendon Repair

What Is Arthroscopic Gluteus Medius Tendon Repair?

Arthroscopic gluteus medius tendon repair is a minimally invasive surgical procedure used to treat tears or damage to the gluteus medius tendon in the hip. The gluteus medius muscle plays an essential role in stabilizing the pelvis and supporting normal walking. When the tendon becomes torn or weakened, patients may experience persistent lateral hip pain, weakness, and difficulty with activities such as walking or climbing stairs. Using small incisions and a specialized camera called an arthroscope, the surgeon repairs the damaged tendon and reattaches it to the bone. This approach allows for precise treatment while minimizing disruption to surrounding tissues.

When Is Arthroscopic Gluteus Medius Tendon Repair Recommended?

Arthroscopic gluteus medius tendon repair may be recommended when hip pain and functional limitations do not improve with non-surgical treatments. Your orthopedic specialist may suggest this procedure if you have:

A confirmed gluteus medius tendon tear on imaging studies
Persistent lateral hip pain despite physical therapy or medication
Weakness in the hip affecting walking or balance
Difficulty performing daily activities due to hip dysfunction
Failure of conservative treatments such as injections or activity modification

What Does Preparation for Arthroscopic Gluteus Medius Tendon Repair Involve?

Preparation for arthroscopic gluteus medius tendon repair begins with a detailed medical evaluation. Your surgeon will review your medical history, perform a physical examination, and may order imaging tests such as MRI or ultrasound to confirm the diagnosis. Patients may be advised to stop certain medications, arrange transportation for the day of surgery, and follow fasting instructions if general anesthesia will be used. Your care team will also discuss postoperative plans, including mobility restrictions and rehabilitation.

How Is Arthroscopic Gluteus Medius Tendon Repair Performed?

During arthroscopic gluteus medius tendon repair, the surgeon makes several small incisions around the hip. A tiny camera called an arthroscope is inserted through one incision, allowing the surgeon to view the joint and surrounding structures on a monitor. Specialized surgical instruments are then used to clean the damaged area and reattach the torn tendon to the greater trochanter of the femur using anchors or sutures. Because the procedure is minimally invasive, it generally results in less tissue trauma compared with open surgery.

What to Expect During Recovery After Arthroscopic Gluteus Medius Tendon Repair?

Recovery after arthroscopic gluteus medius tendon repair typically involves a period of protected weight-bearing and physical therapy. Patients may use crutches for several weeks to reduce stress on the repaired tendon. A structured rehabilitation program helps restore hip strength, flexibility, and stability. Many patients gradually return to normal daily activities within a few months, although complete recovery can vary depending on the severity of the injury and individual healing.

What Are the Risks and Complications of Arthroscopic Gluteus Medius Tendon Repair?

As with any surgical procedure, there are potential risks and complications. These may include:

Infection
Bleeding
Blood clots
Nerve or soft tissue injury
Persistent pain or weakness
Incomplete healing or re-tear of the tendon

What Are the Benefits of Arthroscopic Gluteus Medius Tendon Repair?

When successful, arthroscopic gluteus medius tendon repair can provide several important benefits, including:

Relief of chronic hip pain
Improved hip strength and stability
Restoration of normal walking mechanics
Ability to return to daily activities and exercise
Minimally invasive approach with smaller incisions and potentially faster recovery.