SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2026
Endoscopic gluteal tendon repair reduces complication rates while achieving outcomes comparable to open repair: A multilevel meta-analysis.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Variability in United States online rehabilitation protocols after open and endoscopic hip abductor repair.Archives of orthopaedic and trauma surgery · 2026Article
- The pre-operative physical component subscale of the 12-item Short Form Health Survey was the only factor associated with 2-year clinical outcome and satisfaction after hip abductor tendon repair.Archives of orthopaedic and trauma surgery · 2026Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this systematic review and multilevel meta-analysis was to compare short-term functional outcomes, pain relief, and complication rates between open and endoscopic gluteal tendon repair, expressed as functional improvement normalized to minimal clinically important difference (MCID) units. The hypothesis was that endoscopic repair would provide comparable clinical efficacy with a lower complication rate compared with open repair.
methodsPubMed, Embase, CENTRAL and Epistemonikos were searched to 15 October 2025. Eligible primary studies reporting postoperative or change outcomes were synthesized with a frequentist multilevel random-effects model (inverse variance, restricted maximum likelihood estimation, Hartung-Knapp adjustment).
resultsThirty-four studies (1278 patients; 1283 hips) met criteria. Postoperative functional MCID (27 studies; n = 1005): overall 9.01 (95% confidence interval [CI]: 8.11-9.91; I
conclusionOpen and endoscopic gluteal tendon repair provide clinically meaningful short-term improvements in function and pain, with no relevant differences in efficacy when interpreted using MCID units. These findings support both techniques in clinical practice and favour endoscopic repair when available due to its less invasive nature. LEVEL OF EVIDENCE: Level III, systematic review and meta-analysis of predominantly Level III studies.
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Registered trials
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