Gluteus Medius Repair With Double-Row Fixation

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Gluteus Medius Repair With Double-Row Fixation J. W. Thomas Byrd, M.D. Arthroscopy Techniques Volume 2, Issue 3, Pages e247-e250 (August 2013) DOI: 10.1016/j.eats.2013.02.015 Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig 1 On viewing of a left hip, the viewing portal for the 30° arthroscope is posterior to the vastus lateralis ridge (VLR). Distally is a Clear-Trac working cannula (Smith & Nephew). A Healicoil anchor is being inserted from a proximal portal. A probe has been introduced anteriorly to retract the tendon while seating the anchor. © J. W. Thomas Byrd. Arthroscopy Techniques 2013 2, e247-e250DOI: (10.1016/j.eats.2013.02.015) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig 2 A grasper assesses the mobility of the tendon. (A) Moving the tendon proximally exposes the bony footprint. (B) The tendon is mobilized distally over its insertion site. © J. W. Thomas Byrd. Arthroscopy Techniques 2013 2, e247-e250DOI: (10.1016/j.eats.2013.02.015) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig 3 The anterior of 2 double-loaded Healicoil anchors is being inserted in the proximal portion of the bony footprint. © J. W. Thomas Byrd. Arthroscopy Techniques 2013 2, e247-e250DOI: (10.1016/j.eats.2013.02.015) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig 4 The more posterior of the 2 Healicoil anchors is being inserted. The colored sutures of the anterior anchor are seen emerging from the anchor hole (arrow); these have already been passed in a mattress fashion through the proximal tendon. © J. W. Thomas Byrd. Arthroscopy Techniques 2013 2, e247-e250DOI: (10.1016/j.eats.2013.02.015) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig 5 The 4 sutures from the 2 double-loaded anchors have been tied, leaving 1 suture limb from each knot to be incorporated into the distal fixation. © J. W. Thomas Byrd. Arthroscopy Techniques 2013 2, e247-e250DOI: (10.1016/j.eats.2013.02.015) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig 6 The distal Footprint anchor is driven into place, incorporating 2 suture limbs from the proximal knots. © J. W. Thomas Byrd. Arthroscopy Techniques 2013 2, e247-e250DOI: (10.1016/j.eats.2013.02.015) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig 7 The final repair construct is inspected with secure double-row fixation. © J. W. Thomas Byrd. Arthroscopy Techniques 2013 2, e247-e250DOI: (10.1016/j.eats.2013.02.015) Copyright © 2013 Elsevier Inc. Terms and Conditions