Gluteus Medius Repair — Hip Gluteal Tendon Repair

University of Virginia Orthopaedic Surgery

Weight-Bearing

25% WB weeks 0-2; 50% WB weeks 2-6; WBAT by week 8

Key Restrictions

Brace as indicated per tear severity; no passive hip adduction, ER, or IR Phase 1; no active hip abduction or IR Phase 1; hip flexion limited to 90° Phase 1; active hip abduction and IR delayed until Phase 3 (6-12 weeks); resisted abduction and IR not until Phase 4 (12+ weeks)

Timeline & Phases

Phase 1 (0-2 wks): 25% WB, brace, PROM (flex 90°, abd as tolerated, ext neutral), no passive add/ER/IR, no active abd/IR, upright stationary bike non-op leg only, hip isometrics ext/add, quad/HS sets, lower abdominal activation; Phase 2 (2-6 wks): 50% WB, AAROM abd/IR, PROM ER/IR/add to neutral, AROM hip flexion, core stabilization, quad/HS isotonics, bridges, prone hip extension, hip flexor stretching; Phase 3 (6-12 wks): WBAT by wk 8, full PROM, start active abd/IR, eccentric step-downs, lateral walks, balance bilateral, stretching (hip flexor/adductor/glutes/piriformis/ITB/TFL); Phase 4 (12+ wks): full ROM, resisted abd/IR, gradual abductor/adductor strengthening, lunges, plyometrics, single-leg balance progression

Notes

4 phases; brace based on tear severity; upright stationary bike with no resistance, pushing pedal with non-op leg only in Phase 1; active hip abduction and IR not until Phase 3; resisted abduction and IR not until Phase 4; comprehensive stretching (hip flexor, adductor, glutes, piriformis, ITB, TFL) from Phase 3; gait normalization emphasis in Phase 4

Published

12/2024