Transfer of the Gluteus Maximus and Tensor Fasciae Latae for Irreparable Gluteus Medius Tears Using a Double‐Row Suture Anchor Transosseous Equivalent Construct With Allograft Augmentation

Gluteus medius (GM) tears are a well-established source of pain and disability, particularly in women older than 60 years of age. Irreparable GM tears represent a challenging situation. Transfer of the gluteus maximus (Gmax) and tensor fascia lata (TFL) has been described as a surgical alternative for irreparable full-thickness GM tears. Contemporary suture anchor fixation technology using transosseous-equivalent fixation in combination with dermal allograft augmentation is an option to increase the contact area and reinforce the Gmax and TFL transfer construct. The following Technical Note presents our preferred and current technique for Gmax and TFL transfer using contemporary suture anchor technology with a double-row transosseous-equivalent construct and dermal allograft augmentation in the setting of irreparable GM tears.