Endoscopic Abductor Repairs of the Hip Simplified: Double-Pulley Suture-Passage Free Technique

Abstract

Greater trochanteric pain syndrome is a prevalent cause of lateral-sided hip pain. In this Technical Note, we propose an endoscopic double-pulley technique that demonstrates gluteus medius and minimus repair via a double-row tape-bridge configuration. Our approach facilitates abductor repair in a consistent and reproducible manner using 3 to 4 peritrochanteric portals while avoiding the difficulties of antegrade or retrograde suture passage. This surgical technique is useful for high-grade partial tears, minimally retracted full-thickness tears, or refractory greater trochanteric pain syndrome with gluteal tendinopathy.