Evidence map›Paper›PMID 36066574›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023

Satisfactory results after endoscopic gluteus medius repair combined with selective gluteus maximus reflected tendon release for the treatment of a full-thickness tear of gluteus medius.

Federico Della Rocca, Vincenzo Di Francia, Alberto Giuffrida, Marco Rosolani, Riccardo D'Ambrosi, Alessio D'Addona

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Surgical Treatment and Outcomes for Gluteal Tendon Tears.Current reviews in musculoskeletal medicine · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Federico Della RoccaHumanitas Research Hospital-IRCCS, Via Alessandro Manzoni 36, Rozzano, MI, Italy.
Vincenzo Di FranciaHumanitas Research Hospital-IRCCS, Via Alessandro Manzoni 36, Rozzano, MI, Italy.
Alberto GiuffridaHumanitas Research Hospital-IRCCS, Via Alessandro Manzoni 36, Rozzano, MI, Italy.
Marco RosolaniHumanitas Research Hospital-IRCCS, Via Alessandro Manzoni 36, Rozzano, MI, Italy.
Riccardo D'AmbrosiIRCCS Istituto Ortopedico Galeazzi, Via Galeazzi 4, 20161, Milan, Italy. riccardo.dambrosi@hotmail.it.ORCID http://orcid.org/0000-0002-1216-792X
Alessio D'AddonaHumanitas Research Hospital-IRCCS, Via Alessandro Manzoni 36, Rozzano, MI, Italy.
IRCCS Humanitas Research Hospital · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe current study aimed to report the mid-term follow-up results of endoscopic gluteus medius repair combined with a systematic release of the gluteus maximus reflected tendon.

methodsTwenty-two patients with a symptomatic full-thickness tear of the gluteus medius tendon, as diagnosed by clinical examination and imaging (MRI), and who had a failure of conservative treatment for at least 6 months, were retrospectively enrolled for this study. An endoscopic repair of gluteus medius was performed for all patients in combination with gluteus maximus reflected tendon release according to the Polesello technique. The Visual Analogue Scale (VAS) for pain, Modified Harris Hip Score (mHHS), Lower Extremity Functional Scale (LEFS), Hip Outcome Score-Activity Daily Life (HOS-ADL), and Hip Outcome Score-Sport Specific Subscale (HOS-SSS) were administered to each patient before surgery for 6 months, 1 year, and every following year after surgery.

resultsAll analysed hip scores (mHHS, LEFS, HOS-ADL, and HOS-SSS) showed statistically significant improvements between the pre-operative and post-operative values at 6 months, 1 year, and the latest follow-up appointments after surgery (p < 0.001). The mean pre-operative pain was 8.6 ± 1.0 on the VAS. After surgical treatment, the pain was significantly reduced (p < 0.001) on the VAS at 6 months (5.4 ± 1.5), 1 year (4.4 ± 1.8) and the latest follow-up control visit (3.6 ± 2.2). No patient-reported major complications (re-rupture, deep infection or neurovascular injury). Eleven (50%) patients indicated the results as excellent, 7 (32%) as good, 2 (9%) as fair, and 2 (9%) as poor.

conclusionThe use of abductor tendon repair in combination with a systematic release of the reflected tendon of the gluteus maximus according to the Polesello technique seems to be a safe and effective endoscopic way of treating a full-thickness tear of the gluteus medius. LEVEL OF EVIDENCE: Level IV.

Indexed as

PainTenotomyButtocksHumansRetrospective StudiesTreatment OutcomeEndoscopyGluteus maximus reflected tendon releaseGluteus medius full-thickness tearHip arthroscopySurgical technique

Identifiers

PMID36066574
PMCPMC10090025
OpenAlexW4294808283

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.