Gluteal Tendon Repair
Surgical repair to restore hip function and strength
If you’ve been experiencing persistent pain on the outside of your hip, difficulty walking, or weakness when climbing stairs, you may be dealing with a gluteal tendon tear. This condition is sometimes referred to as a “rotator cuff tear of the hip,” as it affects the tendons responsible for stabilising and moving the hip joint. Gluteal tendon repair surgery is a procedure that may be considered when non-surgical treatment has not provided adequate relief. The goal of surgery is to reattach the torn tendon, reduce pain, and improve strength and mobility in your hip.
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What are gluteal tendon tears?
Your hip is surrounded by powerful muscles and tendons that allow you to walk, balance, and move your leg. Two of these key muscles, the gluteus medius and gluteus minimus attach to the outer part of your thigh bone via tendons. These tendons help stabilise the pelvis and lift the leg out to the side.
Gluteal tendon tears can occur gradually from wear and degeneration, or less commonly, from trauma or overuse. In many cases, the tendon may become inflamed or partially torn, resulting in pain and functional limitations. When the tear is more significant, the tendon may pull away from the bone, causing noticeable weakness and disability.
Symptoms may include:
- Pain over the outer hip and buttock
- Discomfort when lying on the affected side
- Difficulty walking or climbing stairs
- Limping or instability when standing on one leg
- Weakness when lifting the leg to the side
When gluteal tendon repair may be recommended
Surgery is not the first step in treating gluteal tendon injuries. Most patients respond well to conservative treatment, which may include:
- Physiotherapy and targeted strengthening
- Anti-inflammatory medications
- Corticosteroid injections
- Activity modification
However, surgery may be considered if:
- You have a complete or high-grade partial tear seen on imaging (e.g. MRI)
- There is persistent pain or weakness despite a trial of physiotherapy
- The condition is significantly limiting your mobility or quality of life
- There is associated trochanteric bursitis or ITB thickening contributing to your symptoms
Your surgeon will assess your condition through clinical examination and imaging to determine whether surgical repair is appropriate.
The Gluteal Tendon Repair Procedure
Gluteal tendon repair is typically performed under general or spinal anaesthesia. The procedure may be done through open surgery or minimally invasive techniques, depending on the nature and location of the tear.
Key steps of the procedure include:
- Exposure of the tendon – The outer hip area is accessed via an incision over the greater trochanter.
- Debridement – Damaged or scarred tissue is cleaned out, and the torn edge of the tendon is prepared.
- Reattachment – The tendon is reattached to the bone using sutures and small anchors placed into the greater trochanter.
- Addressing other issues – If present, associated bursitis may be treated (bursectomy), or the iliotibial band may be released to reduce tension.
The surgery generally takes around 60 to 90 minutes, and patients may go home the same day or stay overnight depending on individual circumstances.
Recovery After Gluteal Tendon Repair
Recovery after gluteal tendon repair is progressive and requires patience and commitment to physiotherapy. Your individual recovery plan will depend on the severity of the tear and the surgical technique used.
Post-operative expectations may include:
- Use of crutches: You may need to use crutches or a walking aid for several weeks to protect the repair.
- Limited weight-bearing: In some cases, only partial weight-bearing is allowed for the first 4 to 6 weeks.
- Physiotherapy: A structured rehabilitation program will focus on restoring hip strength, flexibility, and control.
- Pain management: Pain relief medications and strategies will be provided as needed.
Typical milestones:
- Return to light activity: 6–8 weeks
- Walking without a limp: 3 months
- Return to full activity or sport: 4–6 months, depending on progress
Your surgeon and physiotherapist will monitor your healing and guide your return to normal function.
Is gluteal tendon repair right for you?
Not everyone with outer-hip pain requires surgery. Gluteal tendon repair may be appropriate for you if:
- You have imaging-confirmed tendon tearing
- Conservative treatment has not been effective
- You are motivated to follow a rehabilitation program
- You understand the potential benefits and limitations of surgery
During your consultation, your surgeon will discuss your symptoms, review your imaging, and explore whether this procedure aligns with your goals and expectations.
Risks and Complications
While gluteal tendon repair is generally successful, like any surgery, it has associated risks, including:
- Infection at the surgical site
- Blood clots (deep vein thrombosis)
- Nerve or blood vessel damage
- Risk of re-tearing, especially if post-surgery protocols are not followed
- Persistent hip pain or stiffness
At Melbourne Orthopaedic Clinic, our team is committed to discussing potential risks and minimising them through a comprehensive care approach. Our Surgeons will provide guidance and answer any questions, ensuring you feel informed and prepared for your recovery journey.