CORR Insights®: Labral Reattachment in Femoroacetabular Impingement Surgery Results in Increased 10-year Survivorship Compared With Resection

Byrd, J. W. Thomas

doi:10.1007/s11999-016-5157-9

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Our study also preceded recent advancements in repairing and reconstructing damaged labra. We recognize that this may limit the applicability of our findings to patients undergoing these procedures; however, selective labrum débridement is still considered an appropriate treatment for certain patients [2,5], and a recent comparative study demonstrated similar midterm outcomes between this procedure and labral repair [5]. Fifth, our selection of THA as our endpoint for survival analysis could introduce assessment bias and influence our results.…”

Section: Discussionmentioning

confidence: 91%

What Is the Association Between Articular Cartilage Damage and Subsequent THA 20 Years After Hip Arthroscopy for Labral Tears?

Dwyer

Tumpowsky

Boone

et al. 2019

Clin Orthop Relat Res

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Background Few studies have examined long-term outcomes for patients after arthroscopic treatment for intraarticular hip conditions, and none have done so beyond 10 years postarthroscopy. Examining outcomes beyond 10 years is necessary to determine factors that contribute to conversion to THA in patients undergoing hip arthroscopy for labrochondral damage. Questions/purposes (1) What is hip survivorship free from THA in patients who underwent arthroscopic labral débridement, with or without chondroplasty at least 15 years before? (2) What factors are associated with conversion to THA after arthroscopic labral débridement, with or without chondroplasty? (3) Can these data be used to estimate the risk of conversion to THA based on patientand hip-related factors? Methods Between 1989 and 2000, one surgeon performed 552 arthroscopic hip procedures for symptomatic labral tears, with or without associated articular cartilage damage. Of these, the hip status was known in 404 hips (73%) at a minimum of 15 years after the index procedure, with 20 of those patients having died during the followup period. During the study period, patients were offered hip arthroscopy for labral tears with mechanical symptoms, with or without underlying articular cartilage damage. Patient age, sex, acetabular and femoral head Outerbridge grade at surgery, and presence of labral tear were recorded. We One of the authors certifies that he (JCM), or a member of his or her immediate family, has received or may receive payments or benefits, during the study period, in an amount of less than USD 10,000 from Stryker (Kalamazoo, MI, USA); has received or may receive payments or benefits, during the study period, in an amount of less than USD 10,000 from Innomed (Savannah, GA, USA); has received or may receive payments or benefits, during the study period, in an amount of less than USD 10,000 from Arthrex (Naples, FL, USA), outside the submitted work. Clinical Orthopaedics and Related Research® neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDA approval status, of any drug or device before clinical use. Each author certifies that his or her institution has approved the reporting of these cases, and that all investigations were conducted in conformity with ethical principles of research. Our institutionally-approved database does not require patients to sign a consent form to document surgical and clinical data.

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Section: Discussionmentioning

confidence: 91%

What Is the Association Between Articular Cartilage Damage and Subsequent THA 20 Years After Hip Arthroscopy for Labral Tears?

Dwyer

Tumpowsky

Boone

et al. 2019

Clin Orthop Relat Res

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“…In the last quarter of century, much has been learned regarding the management of acetabular labral injuries (1). Historically, labral tears were treated with debridement or excision (2).…”

Section: Introductionmentioning

confidence: 99%

Indications and Outcomes for Arthroscopic Hip Labral Reconstruction With Autografts: A Systematic Review

Bessa¹,

Williams

Polce

et al. 2020

Front. Surg.

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Background: The acetabular labrum plays a major role in hip function and stability. The gold standard treatment for labral tears is labral repair, but in cases where tissue is not amenable to repair, reconstruction has been demonstrated to provide superior outcomes compared to debridement. Many types of grafts have been used for reconstruction with good to excellent outcomes. Autograft options include iliotibial band (ITB), semitendinosus, and indirect head of the rectus femoris tendon, while allografts have included fascia lata and gracilis tendon allografts. Questions/Purposes: As allografts are not always readily available and have some inherent disadvantages, the aims of this systematic review were to assess (1) indications for labral reconstruction and (2) summarize outcomes, complications, and reoperation rates after arthroscopic labral reconstruction with autografts. Methods: A systematic review of the literature was performed using six databases (PubMed, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Scopus, and Google Scholar) to identify studies reporting outcomes for arthroscopic labral reconstruction utilizing autografts, with a minimum follow-up of 1 year. Study design, patient demographics, autograft choice, complications, donor site morbidity, reoperation rates, conversion to arthroplasty, and patient reported outcomes were extracted and reported. Results: Seven studies were identified for inclusion with a total of 402 patients (173 females, age range 16-72, follow-up range 12-120 months). The most commonly reported functional outcome score was the modified Harris Hip Score (mHHS), which was reported in six of seven studies. Preoperative mHHS ranged from 56 to 67.3 and improved postoperatively to a range of 81.4-97.8. Conversion to total hip arthroplasty and reoperation rates ranged from 0 to 13.2% and 0 to 11%, respectively. The most common indication for labral reconstruction was an irreparable labrum. Autografts utilized included ITB, hamstring tendons, indirect head of rectus femoris, and capsular tissue. Bessa et al. Arthroscopic Autograft Labral Reconstruction Conclusions: Arthroscopic autograft reconstruction of the acetabular labrum results in significant improvement in the short-and mid-term patient reported outcomes, for properly selected patients presenting with pain and functional limitation in the hip due to an irreparable labral injury.

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CORR Insights®: Labral Reattachment in Femoroacetabular Impingement Surgery Results in Increased 10-year Survivorship Compared With Resection

Cited by 2 publications

References 11 publications

What Is the Association Between Articular Cartilage Damage and Subsequent THA 20 Years After Hip Arthroscopy for Labral Tears?

What Is the Association Between Articular Cartilage Damage and Subsequent THA 20 Years After Hip Arthroscopy for Labral Tears?

Indications and Outcomes for Arthroscopic Hip Labral Reconstruction With Autografts: A Systematic Review

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