Endoscopic gluteal tendon repair reduces complication rates while achieving outcomes comparable to open repair: A multilevel meta-analysis.

ABSTRACT:

Purpose

The 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.

Methods

PubMed, 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).

Results

Thirty

SUBMITTER: Ramadanov N 

PROVIDER: S-EPMC12948349 | biostudies-literature | 2026 Mar

REPOSITORIES: biostudies-literature