Hip Tendon Repair: A Complete Guide to Gluteus Medius Repair

Introduction to Hip Tendon Repair

Hip tendon repair is a surgical procedure designed to fix damaged or torn tendons around the hip joint, such as the gluteus medius tendon. These tendons play a crucial role in stabilizing the hip and enabling smooth movement. When they become injured—whether from wear-and-tear, trauma, or overuse—it can lead to pain, weakness, and limited mobility.

Many patients with hip tendon tears struggle with daily activities like walking, climbing stairs, or even standing for long periods. If conservative treatments (like physical therapy or medications) fail, surgery may be recommended. A successful hip tendon repair can restore function, reduce pain, and improve quality of life.

This guide will walk you through everything you need to know—from causes and symptoms to surgery and recovery—so you can make an informed decision about your treatment.

Common Causes of Hip Tendon Injuries

Hip tendon injuries, including gluteus medius tears, can occur due to several reasons:

• Overuse or Repetitive Stress: Athletes, runners, and individuals with physically demanding jobs are at higher risk due to repetitive hip movements.
• Aging and Degeneration: As we age, tendons lose elasticity, making them more prone to tears.
• Trauma or Sudden Injury: Falls, accidents, or sudden twists can cause acute tendon tears.
• Hip Impingement (FAI): Abnormal hip joint structure can increase tendon strain.
• Poor Biomechanics: Weak hip muscles or improper movement patterns contribute to tendon stress.

Early diagnosis and treatment can prevent further damage. If you experience persistent hip pain, consult an orthopedic specialist.

Symptoms Indicating the Need for Repair

How do you know if you might need a hip tendon repair? Look for these signs:

• Lateral Hip Pain: Sharp or aching pain on the side of the hip (often mistaken for bursitis).
• Weakness When Walking: Difficulty lifting the leg or a noticeable limp.
• Pain at Night: Discomfort when lying on the affected side.
• Stiffness: Reduced hip mobility, especially after sitting for long periods.
• Clicking or Snapping Sensation: Some patients report a catching feeling in the hip.

If these symptoms persist despite rest and physical therapy, surgery may be necessary.

Diagnosis: How Hip Tendon Tears Are Identified

Diagnosing a hip tendon tear involves:

1. Physical Examination: A doctor checks for tenderness, weakness, and range of motion.
2. Imaging Tests:
   • MRI: The gold standard for detecting soft tissue tears.
   • Ultrasound: Helps visualize tendon damage dynamically.
   • X-rays: Rules out bone-related issues like arthritis.
3. Diagnostic Injections: A local anesthetic injection can confirm if pain originates from the tendon.

An accurate diagnosis ensures the right treatment plan.

Types of Hip Tendon Repair Procedures

Depending on the severity, surgeons may recommend:

• Arthroscopic Repair: Minimally invasive surgery using small incisions and a camera.
• Open Surgery: For larger or complex tears, a traditional open approach may be needed.
• Tenodesis: Reattaching the tendon to the bone using anchors or sutures.
• Debridement: Removing damaged tissue if repair isn’t possible.

Your surgeon will choose the best technique based on your condition.

Preparing for Hip Tendon Repair Surgery

Proper preparation improves surgical outcomes:

• Medical Evaluation: Blood tests, EKG, and imaging to ensure you’re fit for surgery.
• Medication Adjustments: Stop blood thinners or NSAIDs as advised.
• Prehab (Pre-Surgery PT): Strengthening surrounding muscles aids recovery.
• Home Setup: Arrange for mobility aids (crutches, raised toilet seat).
• Fasting: No food or drink after midnight before surgery.

Follow your surgeon’s instructions closely.

Step-by-Step Surgical Procedure Explained

A typical gluteus medius repair involves:

1. Anesthesia: General or regional anesthesia is administered.
2. Incision: Small cuts (for arthroscopy) or a single larger incision (open surgery).
3. Tendon Reattachment: The torn tendon is stitched back to the bone using anchors.
4. Closure: Sutures or staples close the incisions.

The surgery usually takes 1–2 hours, and most patients go home the same day.

Recovery and Rehabilitation Process

Recovery varies but generally follows these stages:

• Week 1–2: Rest, ice, and limited weight-bearing with crutches.
• Weeks 3–6: Gentle PT to restore mobility.
• Months 2–4: Strengthening exercises.
• Months 4–6: Gradual return to normal activities.

Adhering to your PT plan is crucial for optimal healing.

Potential Risks and Complications

While rare, possible risks include:

• Infection
• Blood Clots (DVT)
• Nerve Damage
• Stiffness or Re-tear

Choosing an experienced surgeon minimizes these risks.