Modest mid-term outcomes after isolated arthroscopic debridement of acetabular labral tears

Abstract

Isolated arthroscopic labral debridement for hip labral tears had 45 % combined poor results when strictly defining failure as repeat surgery or abnormal hip rating. Untreated FAI and concomitant chondroplasty were risk factors for inferior outcome. We recommend concomitant treatment for bony impingement lesions and preservation of the labrum whenever possible.

Hip Arthroscopy Outcomes With Respect to Patient Acceptable Symptomatic State and Minimal Clinically Important Difference

“…Although this finding was not carried over to other PROs, it is noteworthy and parallels some recent literature. Krych et al 29 reported 45% abnormal or severely abnormal hip function at a mean of 5 years after labral debridement. Schilders et al 30 retrospectively compared 69 labral repairs with 32 labral debridements and found significantly higher postoperative mHHS scores in the repair group.…”

Limited evidence that arthroscopic femoral osteochondroplasty is better than debridement alone in femoroacetabular impingement: a systematic review

“…Twenty-four studies with 2692 patients (3125 hips) ultimately met criteria for inclusion in the review. Four studies reported on DEB alone,4 12 13 40 18 studies reported on OC,22 25 41–56 and two studies attempted a comparison between the two procedures 19 57…”

“…In a recent study, Krych et al 13 retrospectively reviewed 57 patients who underwent isolated labral DEB with 2 years of follow-up to identify the reoperation rate and risk factors for poor outcome. Overall, 45% of patients either required a repeat surgery or subjectively rated their hips as abnormal or severely abnormal.…”

“…The treatment was directed at a patient's symptoms, not the underlying structural abnormality, and the results were considered by many to be unsatisfactory,4 10 12 13 with one systematic review reporting that only 67% of patients were satisfied 14. Similarly, persistent or unaddressed bony impingement has been reported to be the most common cause of revision hip arthroscopy 15–18…”

Editorial Commentary: Hip Labral Revision Reconstruction in a Fellowship Training Center: A Report From the Mountains

“…7 Consequently, correction of labral tear by surgical labral reconstruction conferred superior results in comparison to labral debridement, in adequately restoring functional ability and reduce pain. [8][9][10][11][12] The labral reconstruction procedure uses a graft, either autograft or cadaveric allograft, and is a relatively recent procedure that has had encouraging outcomes.…”