Arthroscopic Repair of Acetabular Labral Tears Associated with Femoroacetabular Impingement: 7–10 Years of Long-Term Follow-up Results

Lee, Jae Won; Hwang, Deuk-Soo; Kang, Chan; Hwang, Jung Mo; Chung, Hyung-Jin

doi:10.4055/cios.2019.11.1.28

Cited by 25 publications

(11 citation statements)

References 27 publications

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“…reported similar improvement at HOSADL (from 58 to 85) and HOSSS (from 51 to 82) after an average follow-up period of 7 years. Patient satisfaction was 7.6 of 10 (26) .…”

Section: Discussionmentioning

confidence: 97%

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Retrospective Analysis of Arthroscopic Cam Decompression. Is Hip Joint Still Preserved Although at Learning Curve?

Türemiş¹,

Hapa²

2021

HIP

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INTRODUCTION: Hip arthroscopy is an effective treatment for femoroacetabular impingement (FAI). Purpose of the present study was to report the patient reported outcomes, hip survival retrospectively at a mean follow-up of five years. METHODS: Retrospectively collected data on 25 patients with FAI at minimum follow-up of 42 months (mean 60 months) treated with hip arthroscopy and labrum repair were analyzed. The primary outcome measures were the Hip Outcome Score (HOS) Activities of Daily Living (ADL) subscale, HOS-Sport subscale, Visual analog scale (VAS) for pain. Patient satisfaction was rated. Measurement of joint spaces and osteoarthritis (Tonnis) grading were done preoperatively and at the latest follow-up RESULTS: Pre- and postoperative mean alpha angles were 670±40 and 460±30. %76 of patients achieved minimal clinically important difference (MCID) for HOSADL and %56 of patients achieved MCID for HOSSS and all reached MCID for VAS pain score. Mean satisfaction level was 7.5±1.8 Mean preoperative Tonnis stage of the patients was 0.9±0.9 which increased to 1.1±0.8 (p: 0.046). Mean preoperative lateral joint space was 4.8±1 which decreased to 4.5±1 p<0.001. Mean middle joint space also decreased from 4.5±0.9 to 4.3±0.7 (p: 0.04). However this decrease was not statistically significant at joint space measured at foveal level (p˃0.05) (5±0.8 vs 4.9±0.7). DISCUSSION AND CONCLUSION: Mid-term results show that that after cam decompression, it is possible to say that hip joint is at least preserved and progression of hip osteoarthritis seems to be delayed. Patient functional results, pain scores are generally improved in line with the literature Keywords: hip arthroscopy, osteoarthritis, hip impingement

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“…reported similar improvement at HOSADL (from 58 to 85) and HOSSS (from 51 to 82) after an average follow-up period of 7 years. Patient satisfaction was 7.6 of 10 (26) .…”

Section: Discussionmentioning

confidence: 97%

“…Lower values were reported at the present study due to higher age group and/or probably due to choosing the upper limit for MCID values. At another study with 45 patients (mean age of 34 years) Lee et al (26) . reported similar improvement at HOSADL (from 58 to 85) and HOSSS (from 51 to 82) after an average follow-up period of 7 years.…”

Section: Discussionmentioning

confidence: 98%

Retrospective Analysis of Arthroscopic Cam Decompression. Is Hip Joint Still Preserved Although at Learning Curve?

Türemiş¹,

Hapa²

2021

HIP

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“…Our findings coupled with existing literature support labral repair as the gold standard treatment in primary arthroscopies. 34,35 All of the labral repair patient populations achieved the PASS for mHHS, 36 whereas 3 (75%) labral reconstruction patient populations achieved PASS for mHHS. 36 Perets et al 27 was the only study to report a postoperative mHHS that did not meet PASS for the reconstruction group; however, the authors examined revision reconstruction cases.…”

Section: Discussionmentioning

confidence: 98%

In search of labral restoration function with hip arthroscopy: outcomes of hip labral reconstruction versus labral repair: a systematic review

et al. 2020

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Purpose: To perform a systematic review comparing patient-reported outcomes (PROs) in patients who underwent hip arthroscopy with labral repair versus labral reconstruction in the setting of femoroacetabular impingement syndrome (FAIS) and labral tears. Methods: A systematic review of the PubMed, Embase, and Cochrane databases was performed in May 2020 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and checklist. Articles were included in the analysis if they compared PROs between a labral repair and labral reconstruction cohort. For all PROs, the standardised mean difference (SMD) was calculated to compare the effect size of labral repair and labral reconstruction. Results: 10 comparative studies, with 582 reconstruction cases and 631 repair cases, were included in this analysis. The mean age for the reconstruction and the repair groups ranged from 27.0 years to 52.6 years and 27.5 years to 47.0 years, respectively. The mean follow-up for the reconstruction and the repair groups ranged from 24.0 months to 66.0 months and 24.0 months to 71.0 months, respectively. The modified Harris Hip Scores (mHHS) was favourable in 8 reconstruction studies (range 80.4–95.0) and 9 repair studies (range 84.1–93.0). Average NAHS scores for the repair and reconstruction cohorts ranged from 77.9–88.6 and 73.9–92.4, respectively. Additionally, the effect sizes regarding NAHS and mHHS scores were large (SMD > 0.8) in both the reconstruction and repair groups for the majority of studies. Finally, reconstruction patients underwent a subsequent total hip arthroplasty (THA) at a slightly higher rate. Conclusions: In the setting of FAIS and labral tears, patients who underwent hip arthroscopy may expect significant improvement in PROs at short-term follow-up with either labral repair or labral reconstruction. Although, not statistically significant, the repair group trended towards higher scores and exhibited a lower risk of conversion to THA.

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“…In contrast to arthroplasty surgeries, arthroscopy involves less injury to the periarticular muscle structure, resulting in less postoperative change to strength and function. It can therefore be hypothesised that driving performance could be recovering earlier with arthroscopy surgery [18]. The studies have shown that the brake reaction function returns to baseline at approximately 1 to 6 weeks following knee arthroscopy [19][20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Time Taken to Resume Driving Following Hip Arthroscopy Surgery

Jo¹,

Lee²,

Jang³

et al. 2020

Preprint

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Background: Resuming driving is a common concern among patients undergoing hip arthroscopy. The goals of the current study were 1) to assess whether patients who have undergone right hip arthroscopy have poorer driving performance than patients with normal hips and 2) to analyse the time required to regain preoperative driving performance with respect to different types of operations.Methods: Forty-seven patients who had undergone right hip arthroscopy and who consented to our test protocol were included in this study. The patients were divided into two groups based on the type of operation that they underwent, namely, the femoroacetabular impingement surgery (FAI) group and the simple hip arthroscopy (SA) group. Using an immersive driving simulator, the patients were tested for brake reaction time (BRT), total brake time (TBT), and brake pedal depression pressure (BPD). Following the surgery, the first assessments were conducted when the patient could comfortably sit on the driving seat, and follow-up assessments were conducted for 6 consecutive weeks at weekly intervals. For the control group, 20 healthy volunteers were put through driving assessments thrice at weekly intervals. Braking parameters were compared between preoperative and postoperative measurements and between studied and controlled subjects.Results: The preoperative braking parameters of the patients who underwent arthroscopy showed no significant difference compared with normal controls (p values 0. 373, 0.763, and 0.447 for BRT, TBT, and BPD, respectively). All braking parameters returned to normal in 2 weeks in the FAI group and in 1 week in the SA group.Conclusion: Our study indicates that the driving performance of the patients undergoing right hip arthroscopy have comparable driving performance as compare to the normal hips and that the braking reaction returns to the preoperative state 1 week after SA and 2 weeks after FAI surgery.

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Arthroscopic Repair of Acetabular Labral Tears Associated with Femoroacetabular Impingement: 7–10 Years of Long-Term Follow-up Results

Cited by 25 publications

References 27 publications

Retrospective Analysis of Arthroscopic Cam Decompression. Is Hip Joint Still Preserved Although at Learning Curve?

Retrospective Analysis of Arthroscopic Cam Decompression. Is Hip Joint Still Preserved Although at Learning Curve?

In search of labral restoration function with hip arthroscopy: outcomes of hip labral reconstruction versus labral repair: a systematic review

Time Taken to Resume Driving Following Hip Arthroscopy Surgery

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