Clinical Outcomes After Arthroscopic Hip Labral Repair Using Looped Versus Pierced Suture Techniques

Sawyer, Gregory A.; Briggs, Karen K.; Dornan, Grant J.; Ommen, N. Dawn; Philippon, Marc J.

doi:10.1177/0363546515581469

Cited by 69 publications

(48 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In comparison of looped versus pierced suture techniques for labral repair, statistically and clinically equivalent Hip Outcome Scores have been demonstrated at a mean 3-year follow-up [53]. In addition, no significant difference in revision or failure rates was observed.…”

Section: Discussionmentioning

confidence: 92%

Hip labral repair: options and outcomes

Harris

2016

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

The importance of the acetabular labrum has been increasingly recognized, playing a critical role in both normal anatomy and abnormal pathology of the hip joint. The labrum increases acetabular surface area and volume, providing a stable and durable articulation. The fibrocartilaginous composition affords a tissue capable of a lifetime of normal function in the absence of significant osseous pathology. In the setting of femoroacetabular impingement (FAI) or dysplasia, bony biomechanics may cause labral injury, which may translate to patient symptoms. Long-term consequences of labral tears may include joint degeneration. Labral preservation surgery emphasizes retention of the form and function of the labrum, prioritizing labral repair (in the presence of reparable tissue) and reconstruction (in the absence of reparable tissue) over debridement. Patient-reported outcomes have consistently demonstrated significantly better results following labral repair versus debridement. In conjunction with correction of osseous abnormalities, labral surgery can improve short-term outcomes and potentially reduce the risk of long-term osteoarthritis.

show abstract

Section: Discussionmentioning

confidence: 92%

Hip labral repair: options and outcomes

Harris

2016

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

show abstract

“…This is a purported advantage of the labral base refixation technique, particularly in larger labra, where the blunting can compromise the physiological suction seal with the femoral head to a greater degree. The clinical impact, however, of the suture blunting the free edge of the labrum has not been found to compromise clinical outcomes 7, 8. Although outcomes from labral repair based on labral thickness have not been reported, one can visually optimize the placement of the labrum on the acetabular rim, and the toggle stitch technique is one tool to enhance rotational control of the labrum relative to the femoral head.…”

Section: Discussionmentioning

confidence: 99%

Labral Repair of the Acetabulum Using a Toggle Suture Technique

Wierks

2019

Arthroscopy Techniques

View full text Add to dashboard Cite

Acetabular labral repair requires positioning the labrum on the edge of the acetabulum with appropriate tension and rotation to recreate the suction seal with the femoral head. Considering that the labrum is a triangular shape in cross-section, rotation of the articular face of the labrum relative to the femoral head also affects the suction seal. The purpose of the toggle suture technique described herein is to control the rotation of the labrum to allow the articular face to directly contact the femoral head and optimize the suction seal. The technique is performed by passing the midaspect of a suture around the labrum at the chondrolabral junction. The loop is retrieved and delivered outside the same portal. One of the 2 free suture tails is then passed through the loop, which is then manually tensioned. This creates a single loop around the labrum with a suture tail on either side that allows for rolling, or “toggling,” of the labrum to place the articular face in line with the femoral head.

show abstract

“…Next, unstable labral tears were addressed with midsubstance repair following conservative rim trimming using a motorized burr to create a bleeding bone surface. Midsubstance labral repair was performed using bioabsorbable suture anchors (OsteoRaptor, Smith & Nephew, Andover, MA or Gryphon BR, Depuy Mitek Sports, Raynam MA) with knots tied on the capsular side of the labrum [ 27 ] (Fig. 3 b).…”

Section: Methodsmentioning

confidence: 99%

Endoscopic shelf acetabuloplasty can improve clinical outcomes and achieve return to sports-related activity in active patients with hip dysplasia

Uchida

Hatakeyama

Kanezaki

et al. 2017

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

PurposeTo investigate clinical outcomes and return to sports-related activity following endoscopic shelf acetabuloplasty combined with labral repair in the treatment of the active patients with developmental dysplasia of the hip (DDH).MethodsBetween 2011 and 2013, 32 patients (36 hips; 11 males and 21 females; 11 right 17 left 4 bilateral; median age 28.5, range 12–51 years), who underwent endoscopic shelf acetabuloplasty combined with labral repair and met the inclusion criteria were enrolled in this study. There was a minimum follow-up of 2 years (average 32.3 ± 3 months, range 24–48 months). Patient-reported outcome (PRO) scores including the modified Harris Hip Score (MHHS) and Non-Arthritis Hip Score (NAHS) were obtained preoperatively and at final follow-up for the assessment of surgical outcomes.ResultsThe mean MHHS significantly improved from 68.4 ± 14.3 (range 23.1–95.7) preoperatively to 94.5 ± 8.5 (range 66–100) at final follow-up (p = 0.001). Similarly, the NAHS also significantly improved from 51.3 ± 11.9 (range 23–76) preoperatively to 73.0 ± 7.4 (range 44–80) at final follow-up (p = 0.001). The mean LCE angle significantly increased postoperatively but partially decreased at final follow-up (mean preoperative versus postoperative versus final follow-up: 16.0 range 5–24, versus 40.1 range 27–58, versus 30.1 range 20–41. p = 0.001, respectively). There were 3 patients who returned to a higher activity level, 20 patients who returned to the same activity level, and 6 patients who returned to a lower activity level. The mean period from surgery to return to play was 9.0 ± 3.5 months (range 5–18).ConclusionEndoscopic shelf acetabuloplasty provides promising clinical outcomes and return to sports-related activity for active patients with DDH.Level of evidenceLevel IV.

show abstract

Clinical Outcomes After Arthroscopic Hip Labral Repair Using Looped Versus Pierced Suture Techniques

Abstract: This study showed equivalent HOS-ADL outcomes between looped, pierced, and combined labral repairs. Secondary outcome measures, including failure and revision rates, were not significantly different among the groups. Thus, suture type did not influence outcomes.

Cited by 69 publications

References 21 publications

Hip labral repair: options and outcomes

Hip labral repair: options and outcomes

Labral Repair of the Acetabulum Using a Toggle Suture Technique

Endoscopic shelf acetabuloplasty can improve clinical outcomes and achieve return to sports-related activity in active patients with hip dysplasia

Contact Info

Product

Resources

About