Hip Abductor Repair

Overview

The hip abductor muscles, primarily the gluteus medius and gluteus minimus, play a crucial role in stabilizing the hip during walking, standing, and other weight-bearing activities. Tears of these muscles or their tendinous attachments can cause lateral hip pain, weakness, and difficulty with daily activities. When nonoperative treatments such as physical therapy and injections fail, surgical repair may be necessary to restore function.

Types and Indications

Primary Repair:

• Indicated for partial or complete tears of the gluteus medius and/or minimus tendons that have not responded to conservative management.

• Best performed in acute or subacute cases before significant muscle atrophy or tendon retraction occurs.

Reconstruction or Augmentation:

• Indicated for chronic, retracted tears where primary repair is not feasible.

• May involve the use of allografts, autografts, or synthetic scaffolds to reinforce the repair and restore function.

The Procedure

Hip abductor repair is typically performed arthroscopically or through a small open incision. The torn tendons are identified, mobilized, and reattached to the greater trochanter using suture anchors. In cases of severe degeneration, augmentation techniques may be used to enhance tendon healing.

Recovery Process

• Initial Phase (0-6 Weeks): Patients typically use crutches and may wear a hip brace to protect the repair. Limited weight-bearing is recommended.

• Intermediate Phase (6-12 Weeks): Gradual increase in weight-bearing, with a focus on gentle range of motion and strengthening exercises.

• Advanced Phase (3-6 Months): Progressive strengthening and functional training, with a gradual return to normal activities.

• Full recovery, including return to high-impact activities, may take 6-9 months.

Risks and Considerations

• Potential risks include re-tear, persistent weakness, stiffness, and trochanteric bursitis.

• Adherence to post-operative rehabilitation is crucial for optimal functional recovery.

Conclusion

Hip abductor repair is an effective procedure for patients with significant gluteus medius or minimus tendon tears who have persistent pain and weakness despite conservative treatment. If you are experiencing lateral hip pain and difficulty with mobility, contact our office for a comprehensive evaluation and personalized treatment plan.