Abstract
INTRODUCTION AND IMPORTANCE: Greater Trochanteric Pain Syndrome (GTPS) affects 10-25 % of the population, predominantly middle-aged and elderly women. It significantly impacts quality of life, comparable to end-stage hip osteoarthritis. Gluteus Medius Tendon Tears (GTT) are a critical component of GTPS pathology. CASE PRESENTATION: The study introduces an innovative open surgical technique for treating Grade III and IV Gluteus Medius (GMed) tendon tears, utilizing a polyethylene terephthalate (PET) synthetic ligament for augmentation. 42 patients are included in this case series. DISCUSSION: Existing therapeutic surgical options for GTT are limited and challenging, with historically poor repair outcomes. The proposed technique using PET synthetic ligament represents a potential advancement in surgical management. CONCLUSION: The novel surgical approach offers a promising alternative for addressing complex Gluteus Medius tendon tears, potentially improving patient outcomes and functional restoration.