Females and Males Achieved Comparable Outcomes and Clinical Benefits Following Primary Hip Arthroscopy with Labral Repair, but Age Affected Outcomes and Conversion to Total Hip Arthroplasty. A Short and Mid-Term Follow-Up Analysis with Dual Stratification

Sex-Based Differences in Prevalence, Outcomes, and Complications of Hip Arthroscopy for Femoroacetabular Impingement: A Systematic Review and Meta-analysis

“…67 This aligned with results from other studies, which suggested that sex does not significantly impact potential clinical benefits of undergoing arthroscopy for FAIS. 16,22,23,53,55 In light of the current literature, and given the MCID findings of this study, the clinical impact of statistical differences was likely minimal. Considered alongside the comparable THA conversion rates between sexes, this suggests that operative treatment for FAIS can be beneficial and worth the minimal risks it presents, regardless of sex.…”

“…The findings of this review suggest that sex differences exist for FAIS morphologies, with male patients having a significantly higher prevalence of mixed-type FAIS ( 40 2 days Nerve injury: 13.5%/12.7% Ellenrieder (2017) 21 12 weeks Paraesthesia, muscle weakness, foot numbness: 86.7%/84.2% Bedi (2012) 6 10 days Heterotopic ossification: 72.4%/27.6% Poehling-Monaghan (2017) 71 1 y Failed femoral osteoplasty: 21%/56% Failed combined femoroplasty/acetabuloplasty: 10%/58% Cevallos (2021) 12 30 days, 2 y ED admission 30 days of HA: 4.3%/5.5% Hospital readmission 30 days of HA: 0.7%/0.6% Larson (2016) 45 6 mo 6.7%/10% Maldonado (2022) 55 2 y Rate of non-THA revision surgery: 7.9%/11.3% Amenabar (2013) 2 Retirement due to hip disability: 3.8%/NR Philippon (2010) 70 1 y Reinjured, required additional HA: 7.1%/NR Nwachukwu (2017) 68 1 y Reoperation rate: NR/9.09% Chandrasekaran (2017) 14 2 y 0%/5.56%…”

The Vascularization Course of Labral Autograft and Its Effect on Tissue Healing: Acetabular Labral Augmentation Versus Labral Reconstruction in a Porcine Model

“…As the acetabular labrum is crucial for maintenance of hip homeostasis and its suction seal effect, decades of research and surgical techniques have focused on preservation of labral structure when it comes to symptomatic labral tears. 12,14,16,19 Despite the progress of instruments and arthroscopic techniques, the treatment of irreparable labral tears remains a great challenge for surgeons. With the importance of the chondrolabral junction being studied and discussed in several basic science studies, 22,23 labral augmentation is preferable in some cases compared with labral reconstruction for the preservation of native innervation and vascularization.…”

“…Labral repair has been increasingly preferable over the past decades because of its superior outcome compared with labral resection, which is closely related to the restoration of the labral seal effect. 11,16,17…”

“…Labral repair has been increasingly preferable over the past decades because of its superior outcome compared with labral resection, which is closely related to the restoration of the labral seal effect. 11,16,17 Although preferred by most surgeons in primary hip arthroscopy, labral repair could be challenging in the face of a hypotrophic, calcified, or previously debrided labrum. Therefore, numerous surgeons have recommended labral reconstruction in these cases because of promising short-to midterm clinical outcomes.…”